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Once the patient is diagnosed with PA, single endoscopic screening for gastric cancer or carcinoid tumours is recommended, but subsequent routine endoscopic surveillance recommendation is inconclusive.41 In the elderly, long-term use of medications for co-morbidities can interfere or reduce vitamin B 12 absorption

Edward Rubin, MD board-certified in Pain Medicine and Anesthesiology, with fellowship training at Cornell, Columbia, Hospital for Special Surgery, and Memorial Sloan Kettering

Consequently, post-inflammatory hyperpigmentation and erythema may improve faster

Individual variation dominates, making it difficult to predict which medication a specific person will tolerate best