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Pernicious anaemia symptoms persisting despite B12 injections: what else to investigate?

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You should contact your GP or diabetes team if: The lump persists for more than one week The area becomes increasingly painful, red, or warm to touch You develop signs of infection (fever, spreading redness, discharge) The lump continues to grow rather than resolve You experience systemic symptoms such as dizziness or difficulty breathing Call 999 or go to A&E immediately if you develop signs of a severe allergic reaction such as swelling of the face, lips, tongue or throat, breathing difficulties, or a fast heartbeat