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If I understand rightly you haven't an absorption problem.So once on supplements or a richer B12 diet you can store and utilise b12 from your liver

I do hope you get to the bottom of this

Key areas of research: NNMT Research Metabolic Research Body Composition Research Adipose Tissue Research Energy Expenditure Research Cellular Metabolism Research Glucose Regulation Research Obesity Research Methylation Pathway Research Cellular Energy Research References NNMT Regulates Cellular Metabolism: A Potential Therapeutic Target Discovery of 5-Amino-1MQ as a Potent NNMT Inhibitor The Role of NNMT in Obesity and Metabolic Regulation References are provided for research context only and do not constitute medical claims

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GLP-1/GIP + B12 is a dual-action metabolic therapy that works with your bodys natural hormones to improve appetite control, stabilize blood sugar, and support long-term weight loss

While our understanding is that the ACGME has removed its DEI-related accreditation standards, we do not believe this renders the proposed policy unnecessary, since the ACGME or another accrediting body might seek to reinstate such requirements in the future