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We strongly recommend obtaining a Mexican prescription from a local clinic, both for legal protection at the border and for medical safety

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When to Choose a Different Kind or Size of Syringe What kind of needle you need may change over time

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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