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Why HbA1c May Be Unreliable in B12 Deficiency B12 deficiency alters red cell turnover and erythropoiesis, making HbA1c potentially unreliable in either direction the distortion is variable and cannot be predicted

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66 In comparison to healthy individuals, circulating soluble DPP4 levels were found to be significantly reduced in SSc patients

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Int J Obes Relat Metab Disord (1998) 22(9):83641.10.1038/sj.ijo.0800669 175 YakarSSetserJZhaoHStannardBHaluzikMGlattVet alInhibition of growth hormone action improves insulin sensitivity in liver IGF-1-deficient mice