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If a patients body is already producing GLP-1 at normal or elevated levels, prescribing a long-acting agonist isnt correcting a deficit
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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
Rodrigo JP, Hernandez-Prera JC, Randolph GW, Zafereo ME , Hartl DM, Silver CE, Surez C, Owen RP, Bradford CR, Mkitie AA, Shaha AR, Bishop JA, Rinaldo A, Ferlito A