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Medications administered by subcutaneous injection include those that can be given in small volumes

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E4 carriers: Adopt a Mediterranean or plant-forward diet with low saturated fat intake

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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