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doi: 10.1016/j.autrev.2014.01.048 Summary Keywords primary Sjögren’s syndrome, autoimmune gastritis, pernicious anemia, subacute combined degeneration of the spinal cord, case report Citation Zhan H-S, Yao X, Hu H-Y, Han Y-F, Yue B, Sun L-Y and Wang Y-J (2022) Coexistence of Primary Sjögren’s Syndrome and Autoimmune Gastritis With Pernicious Anemia and Subacute Combined Degeneration of the Spinal Cord: Case Report and Literature Review
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This is worth discussing with your provider before starting, and worth reporting honestly if your mood shifts in a direction that affects your quality of life