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While many associate B12 deficiency with poor nutrition, a significant number of cases are due to non-dietary causes, such as Pernicious Anaemia

This makes it potentially suitable for individuals with insulin resistance, pre-diabetes, or type 2 diabetes, populations who would not be good candidates for growth hormone therapy due to its glucose-elevating effects

While B12 injections can boost energy and improve quality of life for people who are deficient, they do not provide benefits for individuals with normal B12 levels.

The elevated B12 appears to be a consequence of disease activity, likely resulting from increased production of B12-binding proteins by tumor cells or from liver involvement in the cancer process

You can learn more about how B12 deficiency anemia causes these symptoms from Medical News Today