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This typically involves: Intrinsic factor antibodies (highly specific for pernicious anaemia, though sensitivity is only 50%) [12] [28] Gastric parietal cell antibodies (more sensitive but less specific) Coeliac serology if malabsorption is suspected Consideration of upper gastrointestinal endoscopy in selected cases, particularly with autoimmune gastritis/pernicious anaemia NICE guidance emphasises that treatment should not be delayed whilst awaiting antibody results if clinical features strongly suggest deficiency, as irreversible neurological damage can occur

Varicocele A varicocele is present in 15% of the male population and may be found in 19-40% of men as a citing factor in men who present to an infertility clinic [13]

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Many people use the shot for regular top-ups and an IV when they want fuller support, and our team can help you decide