They also look at methylmalonic acid (MMA), a substance related to B12, and homocysteine levels, which can indicate low B12
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They may also repeat blood tests to assess vitamin B12 levels and other markers related to deficiency, helping determine whether the current injection schedule is meeting the patients medical needs
All treatments require a valid prescription and provider oversight
The primary concern is reduced medication effectiveness, which may result in inadequate blood glucose control or diminished appetite suppression rather than harmful side effects