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Transjugular coil embolisation of an intrahepatic shunt in a cat

The vitamin B12 deficiency involved in pernicious anemia is not brought on by inadequate diet, but rather by a relatively rare condition that inhibits the absorption of vitamin B12 in the gut, per MedlinePlus Medical Encyclopedia

This leads to a long list of negative effects, such as: tears and scarring, weak spots that rupture easily, blood clots, increased plaque buildup, and increased workload on the heart