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note these are typically specialist tests, may not be universally available, and can be confounded by renal impairment (MMA) or other nutritional deficiencies (homocysteine) Anti-intrinsic factor antibodies ( anti-parietal cell antibodies) when pernicious anaemia is clinically suspected During ongoing treatment, monitoring frequency should be tailored to individual risk

Blood was collected at the indicated time points for antibody detection in the serum

This is particularly relevant in Canada, where metabolic syndrome prevalence has been rising steadily, especially in provinces with higher rates of sedentary lifestyles during long winter months

Walker, Thomas B