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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

Yes a lot-matched COA is available for every product and every batch, documenting identity, purity, and analytical results

However, caution is warranted here

Some individuals' B12 stores may need replenishment on a weekly basis until they are repleted, while those who have depleted stores may need an injection every month

1.1 mg in nonpregnant women) and riboflavin likewise increases to 1.4 mg/day

Response times vary