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However, in patients with pernicious anaemia these assays should not be used because the intrinsic factor antibodies in the patient's serum interferes with the binding of B12 to the intrinsic factor used in the assay, generating spurious results

Changes in thyroid function have been observed in some studies of rapid weight loss, though there is no established causal link between GLP-1 receptor agonists and clinically significant thyroid dysfunction in humans

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This would be due to anti-inflammatory use and short-term excess alcohol consumption, he says

We also work with Freedom Diagnostics , an independent third-party testing facility, to support our quality assurance efforts