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For those who fall outside these categories and have normal serum B12 levels, an injection is a discretionary wellness choice not a medical treatment

You may need a supplement if you: Eat a vegetarian or vegan diet and dont consume enough foods that contain the vitamins Take heartburn medications Have had weight loss surgery Have a disease that affects your stomach lining or gut, such as IBD or Crohns disease Have or are at risk of getting age-related macular degeneration (AMD) Are older and dont get enough B vitamins through your diet In many cases, you may not need a B complex supplement, but a single B vitamin supplement

Later work examined NNMT inhibition combined with dietary changes in obese mice, reporting reductions in body weight, fat mass, and hepatic fat, alongside shifts in gut bacterial populations

Users may experience increased energy levels, improved sleep quality, reduced appetite, and enhanced mood