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However, B12 supplementation is not directly associated with weight loss
When HbA1c is considered unreliable for example, due to B12 deficiency or anaemia UK and WHO guidance recommends using a fasting plasma glucose test or a 75 g oral glucose tolerance test (OGTT) for diabetes diagnosis or assessment
The Prohibited List (S0 Non-Approved Substances
Finally, if the serum cobalamin concentration at the time of reevaluation is subnormal [lower than normal], further work-up is required to definitively diagnose the underlying disease process and cobalamin supplementation should be continued weekly or bi-weekly
It should be noted that parenteral choline, inositol, and methionine combinations are not licensed medicines in the UK
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