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Other conditions such as intestinal overgrowth (known as SIBO), which is also incredibly common among hypothyroid patients (2), can reduce B12 absorption in the GI tract

This transfer converts homocysteine into the essential amino acid methionine

10 Impaired methylation due to insufficient B12 can reduce the efficiency of neuronal maintenance, synaptic function, and myelination

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The virtues of B12 injections encompass a range of benefits, such as heightened energy levels, facilitating efficient utilization of fats, carbohydrates, and proteins, alleviating irritability, and enhancing concentration, memory, and balance

Levels of methylmalonic acid (MMA) and homocysteine rise, because the body needs B12 to convert them into other compounds