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It works by improving insulin sensitivity, activating AMPK (an enzyme that boosts fat burning), and enhancing mitochondrial function to increase overall energy production

Vitamin B12 deficiency can impact brain function and increase dementia risk

Vitamin B-12 deficiency in the elderly: current dilemmas

J Neuroimmunol

If the patient had fatigue, tingling, or other symptoms attributable to B12 deficiency, I want these to be improving (or at least stabilised) before surgery