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How do people with diabetes become deficient in vitamin B12

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Energy levels rise, brain fog fades, and mood improves noticeably in just a few days

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

However, we will be looking forward to novel local and systemic mechanisms, molecules and agents that would be able to improve this concept by pharmacological therapy