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However, it would appear that a small amount of cobalamin can be synthesized by the intestinal flora present in an area unable to absorb it [2], therefore making the vitamin unavailable

Trends Microbiol (2020) 28(5):40123

B12 Injection Informed Consent

Traditional peripheral neuropathy treatments are often limited

Metabolic Changes : The medication's effects on glucose metabolism, insulin secretion, and glucagon suppression may temporarily affect energy substrate utilization as the body adjusts to improved glycemic control

Backeljauw PF, Underwood LE
