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Pernicious anaemia , the autoimmune condition causing B12 malabsorption, may coexist with other autoimmune disorders, including autoimmune thyroid disease and, less commonly, rheumatoid arthritis

A: You may feel mild pain, redness, or swelling at the injection site

Interventions performed: specific clinical actions taken, such as safety planning with documented plan content, de-escalation techniques, contact with family or emergency services, and disposition recommendation

The choice of treatment should be individualised, considering the underlying cause, symptom severity, patient preference, and practical factors such as access to healthcare facilities for regular injections

warmth or flushing