doi: 10.1016/j.ijom.2025.03.014
From a laboratory medicine perspective, the Association for Clinical Biochemistry and Laboratory Medicine (ACB) and the Royal College of Pathologists (RCPath) advise that: HbA1c may be unreliable in the presence of haemolytic anaemia, haemoglobinopathies, or nutritional deficiencies affecting red cell biology and the direction of distortion may be high or low Clinicians should document any known haematological conditions when requesting HbA1c, so laboratory staff can flag potential inaccuracies Serum B12 testing should be considered in patients on long-term metformin who are symptomatic or have risk factors for deficiency, in line with MHRA and NICE advice Alternative tests fasting plasma glucose, OGTT, or interim use of fructosamine/glycated albumin should be considered when HbA1c reliability is in doubt The NHS website (nhs.uk) provides patient-facing information on the HbA1c test and factors that can affect its accuracy, which patients may find a useful starting point
Because anxiety and stress impair working memory and attention, the cognitive benefit users describe calmer, clearer thinking under pressure may be downstream of its anxiolytic and stabilizing effects rather than a direct memory-enhancing action
Patient Experiences with Semaglutide and L-Carnitine Injections Read testimonials from clients who have experienced the combined benefits of Semaglutide and L-Carnitine
Bardella, C
528 Diet and nutritional supplements Currently, research has not found any specific diet that can significantly improve the quality of life of cancer patients after treatment, but we can still make general recommendations
