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While no mechanism suggests delayed toxicity, this cannot be completely ruled out without long-term controlled studies

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Blood test to determine the quantity and size of red blood cells as well as the level of vitamin B12 in the blood Schilling test to assess bodys ability of B12 absorption Biopsy of the stomach may be done to check for autoimmune gastritis, which can cause pernicious anemia These tests help to confirm the diagnosis of pernicious anemia and rule out other possible causes of anemia

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If you take any medications affecting GABA, serotonin, or dopamine systems, consult a healthcare provider before adding DSIP