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Key Takeaways Vitamin B12 injections are key for treating deficiency

The Maintenance Phase: A Long-Term Strategy Once your B12 levels are back in a healthy range, youll shift gears into the maintenance phase

Elevates NAD+ and S-adenosylmethionine (SAM) levels, shifting metabolic flux toward energy expenditure and away from fat storage 1-4

At baseline and at weeks 8 and 12, a clinician should assess fasting insulin and HOMA-IR (the homeostasis model assessment of insulin resistance, a calculated index derived from fasting glucose and insulin), HbA1c, high-sensitivity C-reactive protein as an inflammatory marker, and body composition by DEXA scan or bioelectrical impedance

References Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietary Reference Intakes