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Stick to a whole-foods-based diet with plenty of fresh vegetables, lean proteins, and B12-rich foods like eggs and dairy

As a key coenzyme in mitochondrial energy metabolism, increased NAD enhances mitochondrial oxidative phosphorylation, promotes triglyceride breakdown in adipocytes, and converts fat into energy for the body, thereby reducing adipose tissue accumulation

But that was the worst thing to do as I think became B12 deficient from alcohol

Vegans who ensure their intake of B12 is adequate, are not deficient in B12

Vitamin B12 does not raise or lower blood glucose, so it does not interfere with how you manage your diabetes, and it has no known interaction with metformin or insulin

For ongoing energy and fat metabolism support, a series of weekly or bi-weekly injections is typically recommended