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Pernicious anaemia An autoimmune condition that causes your immune system to attack the cells in your stomach that produce the intrinsic factor, which means your body is unable to absorb vitamin B12

A person can become deficient in B12 when they do not get enough through their diet

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Ok, so these are interesting points but please add this into the mix for future answers: The NICE Guideline clearly states that there is insufficient research why some people need more frequent injections than others and that an 8- or 12- weekly schedule does not work for everyone and some may need more frequently

This peripheral restriction is fundamentally different from compounds like Semaglutide (a GLP-1 agonist that acts centrally to reduce appetite) or ghrelin-modulating agents that directly influence hunger hormones

Sterile water evaporates faster and does not contain the preservative (benzyl alcohol) that keeps your solution safe for multiple uses