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Step 2: Lab tests (If required) Your healthcare provider may recommend laboratory tests, such as blood sugar levels, glycated hemoglobin levels (HbA1c), and liver, kidney, and thyroid function tests to determine whether this medication is safe for you

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8 Where results are unclear, serum MMA and homocysteine levels (both of which accumulate with B12 deficiency as discussed above) can also be used to confirm a diagnosis, although homocysteine is not specific to B12 deficiency, as it may also be caused by deficiencies in other B vitamins

Not universally