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24 Table 3 Estimated Sensitivity and Specificity of Serum Laboratory Tests for Vitamin B12 Deficiency Pernicious anemia refers to one of the hematologic manifestations of chronic auto-immune gastritis, in which the immune system targets the parietal cells of the stomach or intrinsic factor itself, leading to decreased absorption of vitamin B 12

Patients showed elevated insulin levels and a decrease in systolic blood pressure

Avoid repeated freeze-thaw cycles, which degrade peptide integrity

Acid reflux affects approximately 2030% of patients starting GLP-1 therapy, making it one of the most commonly reported gastrointestinal side effects alongside nausea