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
Lifestyle Higher doses of micronutrient B12 injections may help people with higher activity levels - athletes and people in severe physical training
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Injections, on the other hand, are more efficient
Malignancy: Oncology referral for appropriate cancer treatment (surgery, chemotherapy, radiotherapy)
In these cases, the frequency may be adjusted based on personal goals, lifestyle, and how the body responds over time