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When to Retest HbA1c After Treating B12 Deficiency HbA1c should not be repeated until at least three months after starting B12 replacement, once haematological recovery normalisation of MCV and haemoglobin has been confirmed

The body cannot produce vitamin B12

This is called enterohepatic circulation, and it is for this reason that a deficiency due to dietary absence can take years to develop if there are sufficient reserves even in the absence of dietary intake, since it generally starts from a high pool and very small daily losses if the reabsorption mechanism is working at peak efficiency

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The composition of WLS Optimum was previously evaluated in a randomized controlled trial and optimized afterwards [11, 12]