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This typically involves: Intrinsic factor antibodies (highly specific for pernicious anaemia, though sensitivity is only 50%) [12] [28] Gastric parietal cell antibodies (more sensitive but less specific) Coeliac serology if malabsorption is suspected Consideration of upper gastrointestinal endoscopy in selected cases, particularly with autoimmune gastritis/pernicious anaemia NICE guidance emphasises that treatment should not be delayed whilst awaiting antibody results if clinical features strongly suggest deficiency, as irreversible neurological damage can occur

These findings suggest that the observed BMC increase might potentially be attributed to improved bone size and structure, while the volumetric BMD possibly remained the same

Oral forms might trigger mild digestive upset in sensitive individuals

By promoting organized collagen deposition and reducing myofibroblast activity, TB-500 minimizes scar tissue formation