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Conditions that shorten red cell lifespan — such as haemolytic anaemia or acute blood loss — mean cells spend less time in circulation and accumulate less glycated haemoglobin, producing a spuriously low HbA1c even when blood glucose is elevated
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But the vitamins found in supplements typically aren’t as “available” to your body as vitamins that come from natural food sources — and again, if your body isn’t absorbing vitamin B12 efficiently, you can wind up with a deficiency despite those supplements