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Benefit #3: Improved Insulin Sensitivity (Strong Evidence) Evidence Quality: Multiple animal studies with human relevance Mechanism: Enhanced glucose metabolism through NAD+ restoration 5-Amino-1MQ significantly improves insulin sensitivity through metabolic optimization

By comparison, oral B12 supplements are absorbed at roughly 1 to 5% in healthy adults, and even less if you have low intrinsic factor, atrophic gastritis, celiac disease, Crohn's, or a history of gastric bypass

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Lu P, Wang Y, Graham L, McHale K, Gao M, Wu D, et al

10.1093/nar/gkab711