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[15] [16] Tests may include full blood count, serum B12 levels, anti-intrinsic factor antibodies (to diagnose pernicious anaemia), and sometimes methylmalonic acid or homocysteine levels when the diagnosis is uncertain

Thinner individuals may require shorter needles, while those with more muscle or adipose tissue may need longer ones to reach the muscle layer effectively

ERR agonism (SLU-PP-332): investigated as a synthetic pan-ERR (estrogen-related receptor) agonist studied for its effects on mitochondrial gene expression and oxidative metabolism, a mechanism central to exercise-mimetic research