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As many with Pernicious Anaemia will attest, since 2016 GPs more and more rely on blood serum test results for B12, ignoring the low sensitivity of the test and, more concerningly for the patient, ignore the symptoms and risk factors for B12 deficiency due to a lack of knowledge about Pernicious Anaemia in the healthcare profession

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However, they require careful medical monitoring due to their systemic effects, which can lead to challenges like appetite changes and digestive issues

Always monitor labs and symptoms with your provider

Your healthcare provider will give you a specific dosing schedule to follow so your experiences with dose titration are very, very straightforward

Increased protein intake alone is unlikely to preserve muscle mass in the absence of resistance training