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Description
For individuals without absorption issues, Lifeline Primary Care usually suggests oral B12 supplements or sublingual preparations

Since the liver is the major site of IGF-1 production, when steatosis develops lowering insulin sensitivity, the severity of steatosis at different stages of insulin resistance and metabolic syndrome seems to be correlated with worsened circulating IGF-1 levels [234]
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Interactions with Medications : Blood thinners and diabetic medications, among others, may interact with vitamin B12 and lipotropic drugs

It does not naturally occur in plant-based foods so vegetarians can find it in some breakfast cereals or use B12 oral supplements or B12 injections

Mood Changes : There have been anecdotal reports of mood swings or changes in emotional well-being, likely due to the changes in energy metabolism
