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For example, if a weekly injection on Monday was missed, it could be given on Tuesday and then resume the normal schedule

[36] Antibodies to intrinsic factor and parietal cells cause the destruction of the oxyntic gastric mucosa, in which the parietal cells are located, leading to the subsequent loss of intrinsic factor synthesis

Neurological deterioration requires investigation

As Thyroid disorders can impact your mental health, it might be worth exploring if thyroid disease is the cause of emotional and mental health issues

European Journal of Pharmacology , 570(13), 212221

Always talk to your doctor to adjust your dose