I would go a step further and investigate why the parietal cells are not working properly.
I’ve had patients where the cause was cancer in the fundus where they are located that went undetected for years.
“I would go a step further and investigate why the parietal cells are not working properly.”
no big mystery for me: MASSIVE antibodies to both the gastric parietal cells and intrinsic factor, PLUS i’ve got hashimoto’s thyroiditis, sjogren’s syndrome, atopic dermatitis, gluten allergy, i.e., multiple autoimmune syndrome ...