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This method is particularly effective for patients who have difficulty absorbing B12 from food or pills due to conditions like pernicious anemia, Crohns disease, celiac disease, or post-gastrointestinal surgery

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We expect this to trend down as visceral fat decreases, since visceral fat is itself a driver of chronic inflammation

While certain people (such as those over 50) may be at risk for a B12 deficiency, if you eat a balanced diet that includes animal foods, such as beef, chicken, fish, eggs, and milk, or fortified breads or cereals, youre probably getting enough

Central insulin-like growth factor-1 (IGF-1) restores whole-body insulin action in a model of age-related insulin resistance and IGF-1 decline