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As a general clinical principle: Retest HbA1c no sooner than three months after commencing B12 replacement therapy, and ideally once haematological recovery has been confirmed Confirm haematological recovery normalisation of MCV and haemoglobin before interpreting the repeat HbA1c as reliable Use interim glucose monitoring such as fasting plasma glucose, OGTT, or self-monitored blood glucose (SMBG) to assess glycaemic control during the treatment period

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The small act of putting a vial back in the refrigerator is a direct investment in the validity of your work

But some people have trouble absorbing vitamin B12 from food

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In relation with PD, Vit B12 is considered as a natural Leucine-Rich Repeat Kinase 2 (LRRK2) kinase inhibitor