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This typically involves: Intrinsic factor antibodies (highly specific for pernicious anaemia, though sensitivity is only 50%) [12] [28] Gastric parietal cell antibodies (more sensitive but less specific) Coeliac serology if malabsorption is suspected Consideration of upper gastrointestinal endoscopy in selected cases, particularly with autoimmune gastritis/pernicious anaemia NICE guidance emphasises that treatment should not be delayed whilst awaiting antibody results if clinical features strongly suggest deficiency, as irreversible neurological damage can occur

Safe use during pregnancy and breastfeeding is generally accepted, but only under medical supervision

This process promotes collagen and elastin synthesis, augments the content of collagen fibers and elastic fibers in the dermis, and improves signs associated with skin aging (74)

Both univariate and multivariate linear models were employed to assess associations between vitamin B12 levels and reproductive hormones, and logistic regression examined associations between tertiles of vitamin B12 levels and the clinical status of reproductive hormones

It has skyrocketed, which is probably hard and confusing for people to hear, she said