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But context matters

According to Dr Aravinda, congenital diseases include Immerslund-Grsbeck illness, which causes severe vitamin B12 insufficiency, and genetic intrinsic factor abnormalities which can both lead to severe vitamin B12 deficiency

Methionine The Detoxifier What it is : An essential amino acid found in eggs, meat, and dairy Key benefit : Helps the liver process and eliminate fat and toxins Why it matters : Supports liver function and can aid in natural detoxification Choline The Brain and Fat Supporter What it is : A vital nutrient found in both plant and animal foods Key benefits : Supports liver health, aids in fat metabolism, and enhances brain function, memory, and focus

Its important to consult with a doctor before starting any supplementation, including B12 injections, to ensure that it is appropriate for your specific health situation

doi: 10.1093/jn/134.11.3054

If the deficiency is detected, metformin can be continued while the deficiency is corrected with B 12 supplements