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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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A cool compress applied briefly after the shot helps more than pressure or massage

What you should not do is raise your dose on your own

To be clear, any claims regarding therapeutic benefits are based on preliminary findings in non-human models