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doi:10.1097/AUD.0000000000000946

Furthermore, this trend toward increased alpha diversity in the obese groups placed on an LD that had consequently experienced weight loss aligns with clinical observations, where low gene richness has been associated with increased adiposity, insulin resistance, and dyslipidemia 70 while increased gene richness has been observed following dietary intervention in obese and overweight individuals 71

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Severe deficiency or neurological symptoms require injectable b12 for faster repletion

To address the variability in vitamin B 12 levels, it is advisable to check these levels in people with diabetes, particularly among vegetarians and metformin users, before prescribing vitamin B complex