Elevated homocysteine levels can lead to vascular complications, increasing the risk for atherosclerosis and heart disease
However, if your supplement includes ingredients that might affect sleep, evening dosing might not be ideal
To ensure early diagnosis and intervention, international recommendations recommend that all patients with T1D undergo baseline and repeated thyroid function testing (TSH, free T4) and anti-TPO screening (Frommer And Kahaly 2021)
You should also see a clinician if you have anemia symptoms, a history of gastric surgery, suspected pernicious anemia, or if lab testing hasnt confirmed a B12 deficiency.
recommends that you take a daily B12 supplement providing at least 50 micrograms per day, or one weekly supplement providing 2,000 micrograms