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However, annual review with your GP is advisable to: Ensure adherence to the injection schedule Monitor for any new or worsening symptoms Consider testing for other autoimmune conditions if symptoms develop (particularly thyroid function, as thyroid disease is commonly associated with pernicious anaemia) [2] Gastric cancer risk: Pernicious anaemia is associated with a slightly increased risk of gastric cancer

Modifier 50 (Bilateral procedure): Not applicable to 62323 in most circumstances

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[1] [2] This complex absorption mechanism means that deficiency can arise not only from inadequate dietary intake but also from malabsorption disorders