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Green et al 26 Severe clinical abnormalities should be treated intensively with B 12 , cyanoB 12 or hydroxyB 12 : HydroxyB 12 is commonly used in Europe, often at intervals of 23 months, as it seems to have better retention than cyanoB 12

It lowers the amount of sugar the liver makes and slows down processing, which keeps blood sugar from rising too quickly after a meal

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This monitoring lets healthcare providers adjust your treatment plan

(2025e)

It contains protein and all essential amino acids , making it an excellent plant-based protein source