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Monitoring recommendations: Baseline investigations: Full blood count, B12 level, folate, and intrinsic factor antibodies (if pernicious anaemia suspected) During initial treatment: Potassium monitoring in severe deficiency (risk of hypokalaemia) Follow-up: Repeat full blood count after 8 weeks to confirm haematological response Long-term: Annual review to ensure compliance with maintenance injections

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Think beyond particle cytotoxicity: when self-cellular components released after immunogenic cell death explain chronic disease development

There are also concerns about product quality, particularly when peptides are obtained from sources that may not be subject to the same manufacturing standards as FDA-approved medications