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ScottSMSimrnMFarmerADDinningPGCarringtonEVBenningaMAet alChronic constipation in adults: contemporary perspectives and clinical challenges

As PA is an auto-immune condition it may be helpful to rule out auto-immune thyroid with the correct testing - which is very rarely done in the NHS

These cells are responsible for collagen and elastin synthesis, two essential proteins that improve skin tone, texture, and flexibility

After an initial loading phase of six injections over two weeks (or more frequently if neurological symptoms are present), maintenance injections are given every two to three months for life to prevent deficiency recurrence