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Nackapan, If I understand correctly, you're saying that because a return of symptoms is experienced in a fairly short span of time without injections, this proves that someone with PA cannot utilize their stores of B12

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Its not clear whether the same effect occurs in humans, and large reviews of human data from 2024 to 2025 have not shown an increased risk, but the family-history exclusion remains in place across all GLP-1 SmPCs

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