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Underlying Health Conditions : Individuals suffering from specific medical disorders, such as liver or kidney illness, should exercise caution

B12 deficiency can mask or coexist with folate deficiency both should be assessed

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You should ensure you discuss your health with a healthcare professional thoroughly

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