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More broadly, insulin regulates the metabolism of carbohydrates, fats, and proteins and helps maintain normal blood glucose levels [206]

A further small study done recently on 10 paediatric patients similarly found that intranasal OH-Cbl normalised serum B12 levels in deficient patients ( Subcutaneous B12 Subcutaneous B12 is occasionally used, especially in patients with inborn errors of cobalamin metabolism, who need high pharmacological doses of B12 to maintain their B12-dependent metabolic pathways and related biochemistry within normal range

10.1016/j.arr.2012.02.001

Feature of gut microbiota in patients with migraine and healthy individuals