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This is especially true for those that are vegan or have had gastric bypass surgery, since they do not absorb enough B12 to keep your stores well-stocked

(2003) Insulin resistance in the liver-specific IGF-1 gene-deleted mouse is abrogated by deletion of the acid-labile subunit of the IGF-binding protein-3 complex: relative roles of growth hormone and IGF-1 in insulin resistance

Where to find Vitamin B12 For people who have a deficiency, vitamin B12 injections can be administered by a qualified healthcare professional (per Anazoa MD)

Why Do You Need B12

The ratio of Firmicutes to Bacteroidetes is a commonly-studied change with an increase often linked to HFD consumption/obesity in mice 43,44 and humans 45,46 (for review, see John and Mullin, 2016 47 )