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Autoimmune gastritis is a chronic inflammatory condition where the immune system mistakenly attacks the stomach lining. It is caused by antibodies that target parietal cells and intrinsic factor, proteins essential for producing stomach acid and absorbing vitamin B12. The Intrinsic Factor Blocking Antibody test is the most important test for diagnosis because it specifically identifies the autoimmune attack that leads to vitamin B12 deficiency.
Autoimmune gastritis is caused by antibodies that attack the stomach lining, specifically targeting parietal cells and intrinsic factor. Parietal cells produce stomach acid and intrinsic factor, a protein necessary for vitamin B12 absorption. When your immune system mistakenly attacks these cells, it leads to chronic inflammation, reduced stomach acid production, and eventually vitamin B12 deficiency and pernicious anemia.
The Intrinsic Factor Blocking Antibody test is the most important test for autoimmune gastritis because it specifically detects antibodies that attack intrinsic factor, the protein needed for vitamin B12 absorption. This test is highly specific for autoimmune gastritis and helps confirm the diagnosis. The Parietal Cell Antibody ELISA is another essential test that identifies antibodies against the stomach cells that produce acid, confirming the autoimmune attack on your stomach lining. Together, these blood tests definitively diagnose autoimmune gastritis and distinguish it from other types of gastritis.
You should get tested if you experience persistent fatigue, weakness, or numbness and tingling in your hands and feet, which are signs of vitamin B12 deficiency. Testing is also important if you have unexplained anemia that does not improve with iron supplements, digestive symptoms like loss of appetite or nausea, or if you have other autoimmune conditions like thyroid disease or type 1 diabetes. Early detection helps prevent serious complications like pernicious anemia and neurological damage from B12 deficiency.
What this means
Your test came back negative, meaning no intrinsic factor blocking antibodies were detected. This suggests that pernicious anemia is unlikely to be the cause of any B12 deficiency or symptoms you may be experiencing, and your body should be able to absorb B12 normally through your digestive system.
Recommended actions
If you have B12 deficiency, explore other causes like dietary insufficiency or digestive disorders
Ensure adequate B12 intake through animal products, fortified foods, or supplements
Consider testing B12 levels and related markers like methylmalonic acid
Discuss results with your doctor to determine appropriate next steps
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