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The hormone promotes gluconeogenesis (glucose production) in the liver and reduces glucose uptake in peripheral tissues, creating an insulin-resistant state

While these three compounds are frequently searched together, they dont share a single mechanism each interacts with a different biological pathway, which is precisely why researchers often examine them side by side rather than as interchangeable options

Any improvement can be thought of as an indirect improvement in your vitamin B12 status

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What I can do is test now, treat based on what I find, and plan your surgery around adequate correction