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Without adequate levels, the body struggles to efficiently convert food into usable fuel

It tracks closely with the metabolic deterioration that characterizes the third and fourth decades of life: rising fasting insulin, expanding visceral adipose tissue, declining mitochondrial density in skeletal muscle, and blunted exercise adaptability

[20] It can also be injected intravenously for the purpose of treating cyanide poisoning, as the hydroxyl group is displaced by cyanide, creating a non-toxic cyanocobalamin that is excreted in urine

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I look at both the blood volume and a blood B12 level on our Comprehensive Blood Analysis test here 2