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Diagnosis and management of pernicious anaemia is currently imprecise, with many unanswered questions and a lack of consistency in practise[31]

Your doctor may prescribe you one of these if you also have moderate-to-severe skin symptoms along with your joint symptoms

Vitamin B12 may be needed if youre pregnant or lactating, especially if youre also eating a plant-based diet, says Sue-Ellen Anderson-Haynes, MS, RDN, CDCES, owner of 360Girls&Women and spokesperson of the Academy of Nutrition and Dietetics