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Certain people who may not be getting enough Vitamin B12 or have trouble absorbing it are: People with pernicious anemia, an autoimmune disease, have trouble absorbing Vitamin B12 from foods and dietary supplements

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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

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