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In addition to serum B12, more accurate markers include methylmalonic acid (MMA) and homocysteine levels , especially for people with MTHFR mutations

Characterized by insulin resistance, gradual progressive loss of insulin secretion by -cells, and being heavily driven by being overweight or obese [98], T2DM leads to hyperglycemia, excessive urine production, increased risk of cardiovascular disease, and changes in energy metabolism [106]

the decision depends on your HbA1c, weight, and hypoglycemia history

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