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Chang, H.M., et al

The biology of incretin hormones

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If you take these long term, it is worth checking your B12 status, and injections may be recommended if a deficiency is found

Even though it is inexpensive, we do not recommend cyano B12 to anyone because the body must use a methylation reaction to cleave its cyanide molecule, which is a demanding process

And due to its nutritional importance, food manufacturers increasingly include it in their fortified food formulations, offering high bioavailability as it is already in free form