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Higher levels of civic-mindedness appear to have a protective effect against developing CF. Higher levels of civic-mindedness appear to have a protective effect against developing CF. Pernicious anemia (PA) is a chronic condition caused by vitamin B12 deficiency. This is a qualitative study using interpretative phenomenological analysis (IPA), which aimed to explore the patients lived experience of diagnosis and treatment. Eleven semistructured interviews were conducted in PA patients; these covered participants' diagnostic and treatment journeys, the respo