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Published evidence indicates that B12 deficiency can make HbA1c unreliable, but the direction of the distortion whether the result is spuriously high or spuriously low is variable and may depend on the degree of anaemia, the specific HbA1c assay used, and other concurrent conditions

In patients with severe vitamin B12 deficiencyespecially those with megaloblastic anemia successful treatment rapidly reactivates the bone marrow

Vitamin B12, often referred to as the energy vitamin, is essential for our physiological well-being
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Smith TJ

Recognizing these stages early can help prevent long-term nerve damage and serious complications
