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Once AIG and/or PA are suspected and/or test results are positive, individuals should undergo a gastroscopy/endoscopy with histological sampling to determine the presence of AIG [20]

Given these features, it can be mistaken for chronic inflammatory demyelinating polyneuropathy (CIDP), and in fact, up to 60% of POEMS patients may be initially misdiagnosed with CIDP and receive CIDP-directed treatment [11]

The symptoms can be subtle initially and may overlap with manifestations of liver disease itself, making recognition challenging

A slow metabolism can be a huge roadblock on your weight loss journey, as reduced metabolism keeps your body in fat-storing mode instead of fat-burning load

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These individuals benefit most from injectable B12 supplementation, whether through their tirzepatide formulation or separate B12 injections