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These tests may require specialist laboratory referral Holotranscobalamin (active B12) where available, may be used as a second-line test when standard B12 results are borderline Intrinsic factor antibodies to identify pernicious anaemia, the most common cause in the UK Parietal cell antibodies may be useful if intrinsic factor antibodies are negative but pernicious anaemia is still suspected Thyroid function and folate levels to exclude other causes of similar symptoms According to current UK guidance, patients presenting with neurological symptoms suggestive of B12 deficiency should not have treatment delayed whilst awaiting test results

As PA is an auto-immune condition it may be helpful to rule out auto-immune thyroid with the correct testing - which is very rarely done in the NHS

If you have used our peptide calculator , you know how much easier dosing becomes when the math is this straightforward

Im usually quite scared of needles, but the vitamin D injection wasnt painful at all I barely felt it

But in reality, it is one of the most crucial foundations of health