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Further evaluation demonstrated the presence of both parietal cell and intrinsic factor antibodies

MIC injections are cheaper and better tolerated but should not be presented as an equivalent alternative only as an option for patients who cannot or will not use GLP-1 therapy, with expectations set accordingly

Pregnancy increases nutritional demands, with vitamin B12 playing key roles in maternal health and fetal development

These symptoms are consistent with small fiber neuropathy or early-stage sensory neuropathy, which can manifest as tingling, burning, or shock-like sensations in the absence of significant spinal cord involvement