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Key markers include fasting glucose and insulin (to assess insulin sensitivity), HbA1c (long-term glucose regulation), lipid panel (triglycerides, HDL, LDL), resting metabolic rate via indirect calorimetry, and body composition via DEXA scan (to differentiate fat loss from lean mass changes)

With a chronic autoimmune condition like pernicious anaemia many of us have found that we have to advocate for ourselves so understanding the guideline is important for the patient as well as the doctor and our mission is to ensure we improve communication and ultimately improve the guideline as we build on research in the future

First and foremost, it is essential to rest and give your body time to recover

Route Published human studies mainly used oral and intravenous forms

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Some types of edible algae and fermented foods may also contain small amounts, but they arent reliable sources