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However, annual review with your GP is advisable to: Ensure adherence to the injection schedule Monitor for any new or worsening symptoms Consider testing for other autoimmune conditions if symptoms develop (particularly thyroid function, as thyroid disease is commonly associated with pernicious anaemia) [2] Gastric cancer risk: Pernicious anaemia is associated with a slightly increased risk of gastric cancer
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Certain medications like metformin for diabetes or proton pump inhibitors for acid reflux can actually reduce B12 absorption, which might be why youre deficient in the first place
But fat stores
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