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Diabetes 59 , 775781 (2010)

Regular treatment and follow-up care can help ensure that vitamin B12 levels remain within a healthy range

Reading the result as a marker, not a diagnosis A high B12 indicates a cause to be identified rather than a diagnosis on its own

Men may note stronger erectile or arousal effects, while women may report changes in subjective desire more variably

Meat eaters, vegetarians and vegans can all suffer from a B12 deficiency, which can be resolved with a B12 booster injection or a course of regular shots

Women who have underlying metabolic disease, insulin resistance, PCOS, or thyroid issues are at particular risk