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Deficiency is particularly common in elderly people, because the ability to absorb vitamin B12 can decrease with age

Rather, these results contextualize individual metabolic signatures and should be interpreted alongside baseline labs, lifestyle factors, and clinical presentation by a qualified healthcare provider

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These effects are more pronounced after forty, when collagen production is already reduced

Other findings suggest improvements in abdominal fat, waist circumference, insulin sensitivity, ovulation, menstrual regularity, and androgen levels, offering a broader range of benefits compared to metformin alone