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To protect yourself from bites: use an approved bug spray (insect repellent) on exposed skin wear light-coloured, loose clothing made of tightly woven materials like nylon or polyester wear socks and closed-toe shoes sleep under mosquito netting if youre outdoors or staying in places that arent fully enclosed do a full body tick check on yourself, your children, your gear, and any pets youre travelling with when you return from outdoor activities Insect bite and pest prevention Personal insect repellents Animal precautions Some infections can spread directly from animals to people, like rabies or bird flu (avian influenza)

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Additional tests may include methylmalonic acid, intrinsic factor antibodies, and investigation for malabsorption conditions following British Society for Haematology and NICE guidance