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Its mechanisms include: Promoting Satiety : Activates receptors in the brain to enhance feelings of fullness, helping to naturally reduce food intake ( 1, 2 )

10.3389/fneur.2018.00628 Front

If I understand rightly you haven't an absorption problem.So once on supplements or a richer B12 diet you can store and utilise b12 from your liver

Blood exams provide you with a real-time snapshot of inner stress, hormonal suppression, and systemic influence

Your goals, body composition, training history and full metabolic panel, including fasting glucose, HbA1c, fasting insulin, lipid panel, thyroid panel, IGF-1 and inflammatory markers, are reviewed before any prescription