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Vitamin B-12 is a water-soluble B complex vitamin that is present naturally in a variety of food sources such as fish, meat, and dairy products

AITD frequently coexists with features of metabolic syndrome, including obesity, insulin resistance, dyslipidemia, and metabolic dysfunction-associated steatotic liver disease (MASLD), reflecting the bidirectional interplay between immune dysregulation and metabolic stress [3,4]

However, there is no robust evidence that B12 injections enhance energy, alertness, or performance in individuals whose B12 levels are already adequate

Gut intraepithelial T cells calibrate metabolism and accelerate cardiovascular disease