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(It wasnt proven whether the deaths were caused by the peptides or by something else.) Ultimately, the FDA decided not enough data existed to allay the known safety concerns

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Diagnostic tools may include: Ultrasound: A dynamic and cost-effective way to detect tendon thickening or partial tears MRI: The gold standard for visualizing tendon degeneration, tears, or fluid buildup in the subacromial space Diagnostic injections: Local anesthetic injections can help confirm the source of pain Early and accurate diagnosis can guide non-surgical treatment plans and prevent progression to more severe shoulder damage

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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