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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

If it hasnt and youre exhibiting symptoms like fatigue, numbness, or anemia, ask if a B test is needed

Vitamin B12 is not present in foods of plant origin, but is abundant in foods of animal origin

Because of this, using a pill form of the supplement creates an additional step for transferring the B12 into the bloodstream and can cause your body to absorb less of the vitamin