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Atrophic gastritis is a chronic inflammatory condition where the stomach lining becomes thin due to the loss of gastric glandular cells. It is caused by autoimmune antibodies that attack the stomach's parietal cells, which produce stomach acid and intrinsic factor needed for vitamin B12 absorption. The Intrinsic Factor Blocking Antibody test is the most important test for diagnosis because it confirms autoimmune gastritis and explains B12 deficiency.
Atrophic gastritis is caused by autoimmune antibodies that attack the parietal cells in your stomach lining. These parietal cells normally produce stomach acid and intrinsic factor, a protein you need to absorb vitamin B12. When antibodies damage these cells over time, the stomach lining becomes thin and inflamed, losing its ability to function properly. In some cases, chronic infection with Helicobacter pylori bacteria can also lead to atrophic gastritis, though the autoimmune form is more common in developed countries.
The Intrinsic Factor Blocking Antibody test is the most important test for atrophic gastritis because it specifically detects the antibodies that block intrinsic factor, confirming autoimmune gastritis and explaining why B12 deficiency develops. The Parietal Cell Antibody test is also essential as it identifies antibodies attacking the stomach's acid-producing cells, helping diagnose the autoimmune cause. Additionally, the Gastrin test measures elevated gastrin levels that occur when your damaged stomach lining produces less acid, and the Vitamin B12 test monitors deficiency levels to prevent serious complications like pernicious anemia and nerve damage. Together, these tests provide a complete picture of your stomach function and autoimmune status.
You should get tested if you experience persistent fatigue, weakness, or numbness and tingling in your hands and feet, which are signs of B12 deficiency. Get tested if you have a family history of autoimmune diseases or pernicious anemia, as atrophic gastritis runs in families. You should also consider testing if you have other autoimmune conditions like thyroid disease or type 1 diabetes, since autoimmune gastritis often occurs alongside these disorders. Early testing is important because B12 deficiency can cause permanent nerve damage if left untreated.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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