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Vitamin B12 is a nutrient that helps keep your blood and nerve cells healthy

In pernicious anemia, parenteral vitamin B12 is needed long term, and monthly injections may be required for life

Vegetarians and vegans are at increased risk for vitamin B12 deficiency, since the vitamin mainly comes from animal-based foods (or supplements)

However, if 5-Amino-1MQ also improves insulin sensitivity (as suggested in animal models), combined use particularly alongside insulin or sulfonylureas could theoretically increase the risk of low blood sugar to a clinically significant degree

Initial effects include increased energy and improved mental clarity within the first week