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This direct delivery method is particularly beneficial for individuals with conditions that affect nutrient absorption, such as Crohns disease or pernicious anemia

But this question the exact way that I wrote it here was the way it was presented to me by a very scared PA patient who just got diagnosed and whose rheumatologist is telling her very wrong misinformation

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It does not significantly alter your appetite, your blood sugar, your mood, or your energy levels

UK Guidance on Interpreting HbA1c Alongside B12 Status WHO 2011 guidance and NICE NG28 state that HbA1c should not be used for diagnosis when red blood cell turnover is abnormal