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Although ibuprofen is available over the counter, the FDA warns that it can cause serious side effects including stomach bleeding, kidney damage and cardiovascular complications especially when used at high doses or for long periods

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However, annual review with your GP is advisable to: Ensure adherence to the injection schedule Monitor for any new or worsening symptoms Consider testing for other autoimmune conditions if symptoms develop (particularly thyroid function, as thyroid disease is commonly associated with pernicious anaemia) [2] Gastric cancer risk: Pernicious anaemia is associated with a slightly increased risk of gastric cancer

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