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Current British Society of Gastroenterology guidance suggests considering a baseline upper GI endoscopy with biopsies in adults aged 50 or over with confirmed pernicious anaemia to document autoimmune gastritis
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The observations potentially support the supposition that the rise in cortical and total BMC might be due to enhanced bone growth resulting in increased bone dimensions, while the volumetric BMD remained unchanged
However, you may want to look into bioidentical hormone replacement therapy if you suffer from an age-related testosterone problem
Niacinamide targets a different pathway entirely
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