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For women, especially post-menopausal women, low B12 levels can have a serious impact on bone health

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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

Furthermore, vitamin C supplements may affect the ability of your body being able to efficiently absorb B12 from foods