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Adults in Los Angeles with low B12, limited intake from vegan or vegetarian diets, absorption issues, or those taking metformin or acid reducers may benefit

Low levels of insulin-like growth-factor-binding protein-1 (IGFBP-1) are prospectively associated with the incidence of type 2 diabetes and impaired glucose tolerance (IGT): the Sderkra Cardiovascular Risk Factor Study

Balance problems and coordination difficulties typically require longer treatment periods

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Alcohol can interfere with the absorption of vitamin B12, reducing the effectiveness of the treatment