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Ann Indian Acad Neurol 23:211

It works by improving insulin sensitivity, activating AMPK (an enzyme that boosts fat burning), and enhancing mitochondrial function to increase overall energy production

Altered metabolism may intensify or reduce drug potency

Such extreme reactions are exceedingly rare, and biotin alone has not been clearly implicated in other serious adverse events

So how to explain all the anecdotal evidence that seems to prove B12 works for so many

This could circumvent the work-time lost from OA debilitation or post-surgery rehabilitation
