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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

Theres no one size fits all answer to how quickly B12 shots work

Using semaglutide a few days after its expiration date can increase the chance of known side effects and may cause adverse reactions or unexpected side effects

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