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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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Step 5: Pinch the Skin When Needed For patients with less subcutaneous fat at the injection site, pinching a small fold of skin between the thumb and forefinger raises the subcutaneous layer away from the muscle beneath
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