B12 also plays a vital role in producing healthy red blood cells that carry oxygen, preventing conditions like megaloblastic anaemia, and is involved in DNA synthesis
NHS eligibility criteria are more restrictive than the licensed indications and include higher BMI thresholds and the presence of weight-related complications
It acts as a potent agonist of the IGF-1 receptor, activating signaling pathways such as PI3K/Akt and MAPK to promote: Cell Growth and Division : Enhances proliferation in diverse cell lineages, including ectodermal (e.g., oligodendrocytes, motor neurons) and mesodermal (e.g., osteocytes, chondrocytes, muscle cells) types, supporting stem cell research and large-scale biopharmaceutical manufacturing
If supplementation is responsible, your doctor may recommend reducing or stopping non-essential B12 intake, with repeat testing after an appropriate interval (typically 2-3 months, or longer if you've had recent injections or have kidney disease)
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