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PubMed Predy GN, Goel V, Lovlin RE, et al
Clinician-Guided Vitamin B12 Program for Energy & Metabolic Support| This program is designed to support energy production, metabolic function, and overall vitality by targeting pathways involved in red blood cell formation and cellular energy metabolism
In this condition: Many patients have elevated insulin levels long before fasting glucose or hemoglobin A1c become abnormal
Caused most commonly by pernicious anaemia (autoimmune condition), dietary insufficiency in vegans, malabsorption disorders, or gastrointestinal surgery affecting B12 absorption
This is one reason patients may feel satisfied with smaller meals
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