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In a 48-week observational study, glycemic control (HbA1c), delayed gastric emptying, hospitalization rates and stimulator placements were higher in patients with type 1 diabetes with DGp than in those with type 2 diabetics with DGp

Alterations in the gutliver axis contribute to increased intestinal permeability, dysbiosis, and enhanced production of neurotoxic metabolites [10]

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and when delivered as an intramuscular injection, bypasses the digestive system for significantly faster and more complete absorption than oral supplements

[2] [3] It has a longer retention time in the body compared to cyanocobalamin and is converted to active forms as needed

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