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I found that the high-carbohydrate foods I was eating were causing huge blood sugar swings, and I didnt realize these swings were causing a spike in my thyroid antibodies and weakening my adrenals

USA 97 , 22292234 (2000)

In addition, it leads to a loss of contrast sensitivity, which is the ability to distinguish between relative differences in light intensity (Regan 1993

Secondhand smoke

B vitamins including methylcobalamin, niacin, thiamine, riboflavin, and pyridoxine support proper functioning during a calorie-deficient diet

If you are looking at B12 injections, the most useful starting point is the NHS treatment pathway, because it is built around how the body uses and stores B12 rather than around how often a top-up feels nice to have