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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

I ordered some online, but it has benzl alcohol which I discovered I dont tolerate at all

It's more of a diagnostic puzzle, starting with a look at your Vitamin B12 levels and a Full Blood Count, but the real confirmation comes from specific antibody tests, like the Intrinsic Factor Antibody (IFA) test , which pinpoints the autoimmune causea crucial insight for safeguarding your long-term health