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It could be anything, from bad nutrition habits to co-morbidities: Lower serum vitamin B12 levels have been related to adverse metabolic health profiles, including adiposity

For example, pairing a B12 injection with Glutathione or MIC can enhance both energy and cellular repair

Considering the extent to which obesity impairs health alone or through expression of one or more of these comorbidities, the need for new molecular pharmaceutic agents is crucial

[1] While the medication does not directly target reproductive hormones, some women have reported menstrual cycle changes after starting treatment