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Where serum B12 results are borderline or do not fit the clinical picture, further tests such as active B12 (holotranscobalamin), methylmalonic acid, or homocysteine may be helpful
Lose weight & control blood sugar
Many individuals achieve satisfactory outcomes through lifestyle intervention programs [103], bariatric surgery [104,105,106], or pharmacological interventions alone [28]
Contraception is required during treatment with these agents due to potential fetal harm
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