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That approval doesn't just mean "this is good for wellness"it's for a very specific context

Enhanced grip strength observed in aged mice when combined with exercise [7]

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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However, because they are critically important, the RUC is willing to support valuation and direct PE inputs