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However, clinical realities are rarely perfectly uniform
That said, your provider should still establish a baseline with fasting glucose and HbA1c before starting, and monitor periodically throughout treatment
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It is for this reason that the latter is not routinely available on the NHS and hydroxocobalamin is the preferred treatment
Whilst this route is essential for treating pernicious anaemia and other malabsorption conditions, it can produce serum B12 levels far exceeding physiological requirements
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