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Likely, this may be by rapidly activating alternative bypassing pathways

Without enough B12, you become deficient, which can lead to severe health problems later in life

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Insufficient intake The most common cause of vitamin B12 deficiency is insufficient intake (absorption), which can be caused by the following: excessive bacterial growth in the small intestine impaired absorption (malabsorption) due to coeliac disease [1] or a disease of the pancreas inflammatory diseases of the small intestine (vitamin B12 is absorbed in the small intestine) surgery on the gastrointestinal tract

Similarly, single doses of 60 mg, 120 mg, and 180 mg taken one hour before oral glucose tolerance testing effectively improved fasting blood glucose levels as well as glucose and insulin responses in pre-diabetic individuals, with 180 mg having the greatest impact on blood glucose levels (Alvarado, Leschot 2016)