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Pernicious anaemia is caused by a deficiency in vitamin B12, due to atrophic gastritis, an autoimmune condition where the immune system destroys self, in this case the parietal cells of the stomach

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The Certificate of Analysis is published and accessible from the product page

After a few months of weekly injections, I was permitted to get such regular injections as my levels were so low and I was really suffering, my cycle suddenly regularised even though my hormone levels showed I was in early menopause

During semaglutide therapy, patients with a history of diabetic retinopathy should be closely monitored