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Really just making sure you know what your height and weight are and your medical history, and thats really all you need, Dr

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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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A qualified provider must evaluate your metabolic history, family risk factors, current medications, and baseline labs before endorsing any combination approach