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[26] Measuring active vitamin B12 (holoTC) levels may offer better diagnostic accuracy than total serum B12 levels when screening for deficiency

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See other Video/ Blog on Vitamin B12 Absorption Issues for more
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