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Pernicious anaemia is caused by a deficiency in vitamin B12, due to atrophic gastritis, an autoimmune condition (immune system destroys self), in this case the parietal cells of the stomach that produce intrinsic factor, a glycoprotein that binds to vitamin B12 in the stomach and is essential for normal absorption of vitamin B12 in the small intestine into the blood

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Sirtuins are a family of 7 enzymes (SIRT1 to SIRT7) that use the NAD + as a co-substrate for their deacetylation activity

Or you can try specific arm exercises, including: Lateral deltoid raise: Starting with your palms touching the sides of your body, raise your arms straight all the way up to your shoulders