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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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Discard any remaining solution after that, even if the vial still has liquid in it

It also contributes to the health of your immune system: B12 also jacks up the activity of certain immune cells, contributing to your bodys defense against chronic diseases and viral infections (1)

In fact, slower titration is one of the best uses of the 60 mg format because you have plenty of peptide to take your time finding the optimal dose