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GPs will evaluate: Detailed symptom history Dietary habits and restrictions Medical history, including gastrointestinal conditions Current medications Family history of pernicious anaemia or autoimmune conditions NICE guidance emphasises that treatment should not be delayed whilst awaiting test results if clinical suspicion is high, particularly when neurological symptoms are present

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A study in 2009 evaluated antiviral properties of Selank both in vitro and in vivo against the influenza virus's train A/Aichi 2/68 (H3N2)