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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

Theyre often prescribed to people with low B12 levels who cant absorb enough from their diet or supplements alone

Some people do not mind this, especially if their provider believes injection is the better route for their goal

I use BLT cream from Hopewell Pharmacy