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In obese pregnant women, normal physiology is disrupted by excess adiposity, which leads to increased insulin resistance, altered lipid metabolism, and inflammation

But I also back this up with other tests that look at how your body utilises B12 to check you have enough

This can be particularly important for people who have difficulty absorbing B vitamins due to certain medical conditions or digestive issues

Effective for Certain Conditions: Injections are often recommended for those with Crohns disease, celiac disease, or after gastric surgeries

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