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Follow-up visits: mid-cycle and end-of-cycle, either in person or hybrid depending on stability

Absorption starts with digestion

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

Please consult the doctor if you have heart problems

There may be some tenderness around the injection site which will subside quickly