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All formulations are prescribed after medical evaluation and administered intramuscularly or dispensed through a licensed pharmacy

Many supplements use cyanocobalamin the cheapest and most common form of B12 but this synthetic version must be converted by the liver before the body can actually use it

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fructosamine or glycated albumin may also be considered as short-term alternatives when HbA1c is unreliable Document the timing of B12 treatment initiation in the patient's records to contextualise any HbA1c results obtained during this period This approach ensures that clinical decisions regarding diabetes diagnosis or medication adjustment are based on accurate data rather than a transiently distorted HbA1c result