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Overgrowth of bacteria: Some people develop vitamin B 12 deficiency as a result of conditions that slow the movement of food through the intestines (diabetes, scleroderma, strictures, diverticula), allowing intestinal bacteria to multiply and overgrow in the upper part of the small intestine

Better NAD+ levels also support healthy insulin signaling

For each analysis, the statistical test used and n for each group are found in Supplemental Tables 2, 3, or 5

B12 helps make neurotransmitters and keeps nerves strong

Factors Affecting Individual Dosage Requirements Several things can change how much vitamin B12 someone needs for neuropathy

Intramuscular (IM) injections place B12 deep into muscle tissue at a 90-degree angle