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However, a small percentage (~10-20%) of individuals are unlikely to respond well to the medication for various reasons

Others discuss oral use when they want broader support

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Dunn-Lewis, M

Studies have not found increased cancer incidence from these peptides themselves

They may arrange blood tests to evaluate: Inflammatory markers (ESR, CRP) to detect active inflammation Rheumatoid factor and anti-CCP antibodies if inflammatory arthritis is suspected Full blood count to assess haematological response to B12 treatment Thyroid function tests , as thyroid disorders commonly coexist with B12 deficiency Note that serum B12 levels are not typically measured to assess treatment adequacy once replacement therapy has begun, as they may not reliably reflect tissue stores