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They may also be helpful for people whose diets have changed significantly, especially if they are eating fewer animal-based foods or following a reduced-calorie plan that limits certain nutrients
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This highlights that for certain subsets of dysautonomia patients, the root cause of their autonomic chaos is not necessarily a structural heart issue, but a biochemical bottleneck in neurotransmitter clearance that can be directly addressed with active Vitamin B12 supplementation
Gastrointestinal complications (gastroparesis): GLP-1 medications slow digestion by delaying stomach emptying
While the serum concentration of cobalamin is used diagnostically, the reactions catalyzed by cobalamin dependent enzymes occur in the mitochondria, making it difficult to assess the state of cobalamin availability in the patient
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