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When those junctions are compromised, by NSAIDs, alcohol, chronic stress, or repeated antibiotic courses, the result is a low-grade inflammatory state that shows up as bloating, systemic fatigue, food sensitivities, and immune dysregulation

There is very little evidence that vitamin B-12 affects peoples weight, be it loss or gain

Confusion sometimes arises because other diabetes medications, particularly metformin, are known to interfere with B12 absorption

The changes may feel subtle, such as steadier energy, improved focus, or better consistency during workouts

score 1: less than 25% irregular vascularization and an increased number of capillaries