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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)
If response at 300mcg appears minimal after two weeks, increase to 400mcg
At Gameday this treatment is tailored for men who want to maintain mental clarity, steady energy and healthy metabolic function as they age
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
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