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fructosamine or glycated albumin may also be considered as short-term alternatives when HbA1c is unreliable Document the timing of B12 treatment initiation in the patient's records to contextualise any HbA1c results obtained during this period This approach ensures that clinical decisions regarding diabetes diagnosis or medication adjustment are based on accurate data rather than a transiently distorted HbA1c result

Until then, the use of AOD 9604 remains a topic of both potential promise and cautious consideration

It is cost-effective and effective for treating common B12 deficiencies

B12 shots are injections that deliver synthetic vitamin B12 either cyanocobalamin or hydroxocobalamindirectly into a muscle or beneath the skin

Association of vitamin B12 deficiency in people with type 2 diabetes on metformin and diabetic peripheral neuropathy Nature article: Shows prolonged metformin use correlates with lower B12 and more severe diabetic neuropathy