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In the Gardasil trials this similarity was used to create a false narrative that there was no significant difference between the two groups, actual vaccinated and placebo Although there was no real placebo group

For gastric banding patients, annual blood tests are generally recommended as a minimum once stable, covering: Serum vitamin B12 Full blood count (to detect macrocytic or megaloblastic anaemia) Serum ferritin and iron studies Vitamin D, calcium, and parathyroid hormone (PTH) Folate Thyroid function and other metabolic markers as clinically indicated The specific tests and frequency recommended may vary according to the procedure performed, individual clinical circumstances, and local protocols

(I hope this analogy works I dont fish!) Running specific tests (Tier 2) like an ultrasound or fine-tuning with other tests such as fPLI or DGGR-lipase can muddy the waters without knowing what else is going on

Vitamin B12 and/or folic acid supplementation on linear growth: a 6-year follow-up study of a randomised controlled trial in early childhood in North India