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A 2025 European Journal of Clinical Nutrition commentary on the NICE guideline argued that the diagnostic threshold and clinical awareness still need to be tightened further, especially around pernicious anaemia, which is still under-recognised in primary care

Berg J, Grant R, Siervo M, Stephan BCM, Tully PJ

In one study from 1998 to 2000 in the USA and Canada, the reported rates were 0.3 cases of FISS per 10,000 vaccines and 11.8 post-vaccinal inflammatory reactions per 10,000 vaccinations in cats (Gobar and Kass, 2002)

In fact, these patients had more gastrointestinal symptoms, worse indicators of well-being, and higher levels of tTGA

Draw Up the Dose Attach the drawing needle to the syringe and remove its cap