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note these are typically specialist tests, may not be universally available, and can be confounded by renal impairment (MMA) or other nutritional deficiencies (homocysteine) Anti-intrinsic factor antibodies ( anti-parietal cell antibodies) when pernicious anaemia is clinically suspected During ongoing treatment, monitoring frequency should be tailored to individual risk

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The Cleveland Clinic researchers suggest the difference in real-world outcomes may be explained by what patients did next
