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By mimicking these hormones, the drug does the following: Increases insulin secretion, resulting in lower blood sugar Decreases glucagon production (For those with diabetes, unchecked glucagon production can result in blood sugars that are too high.) Slows gastric emptying (process by which the contents of the stomach are emptied into the duodenum, the first part of the small intestine)

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Treatment consists of intramuscular injections of cyanocobalamin, hydroxocobalamin, or mecobalamin at a dose of 1,000 g daily for one week, followed by weekly injections for one month, and then monthly maintenance therapy [3]

That said, its also not uncommon for those who eat meat not to absorb it very well

Think of it as a specialist versus a generalist

[29] For example, a 2012 study published in Nutrients found that people with B12 deficiency can have elevated levels of inflammatory markers like TNF- and resistin