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If you have it, you dont make enough of a protein called intrinsic factor

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Lack of intrinsic factor is most common in older people and is usually associated with an autoimmune disease called pernicious anemia

Mechanistically, intra-articular AOD-9604 may stimulate synovial fibroblast proliferation or reduce inflammatory cytokine production in the synovial microenvironment, though direct effects on cartilage are unclear