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Exercise and Muscle Mass Building or maintaining muscle mass underneath loose skin can meaningfully improve the appearance of laxity

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

Muscle spasms accompanying back pain also tend to ease as the underlying tissue heals and inflammation decreases

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