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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

Over time, this can lead to improved strength, better physical conditioning, and higher calorie expenditure

AD is associated with several comorbidities, both allergic and non-allergic, indicating its systemic nature, particularly bacterial and fungal infections, neuropsychiatric disorders, autoimmune diseases, metabolic diseases and haematologic malignancies (914)

10.1038/nature08488 Nature 187 VecseyC