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A better question might be Are you absorbing enough B-12? As B12 levels decrease, homocysteine levels increase

Diet and exercise remain the foundation every other intervention is built on, and they meaningfully improve obesity-related conditions such as hypertension and type 2 diabetes

According to the Mayo Clinic, parenteral vitamin B12 therapy is clinically indicated for treating deficiency caused by pernicious anemia, gastrointestinal disorders such as tropical sprue, and conditions resulting in malabsorption like pancreatic insufficiency

Vitamin B12 injections (hydroxocobalamin in the UK) are prescribed for documented deficiency states such as pernicious anaemia and malabsorption disorders

Promotes better sleep Contributes to improved sleep cycles and quality rest

PMID 31316992