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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

These include the competing effects of the formation of cobalamin-like molecules in our body (the so-called cobalamin analogues or pseudo-cobalamins), which may impair the proper action of the good cobalamin

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Steve Brine, Conservative, responded by referring to the National Diet and Nutrition Survey

When NF-kB activity is elevated, cells may produce more inflammatory signals such as TNF-alpha, IL-6, IL-8, and related mediators