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It is vital for glucose production in ruminants, which is essential to meet the high energy demands of growth and lactation

In weight loss treatments, B12 plays a role in boosting metabolism, helping to convert carbohydrates into glucose, which the body uses for energy

Vitamin B12 is a water soluble vitamin, and is important for things like making your healthy red blood cells (the ones that carry oxygen), keeping your nerves working right, and giving you the energy to do all the things you enjoy

The Tier 2 supplements include: Vitamin B12 (when serum B12 is below my threshold) Folate (when serum folate or red cell folate is low) Iron (when iron studies show depletion or frank anaemia) Vitamin A (when serum retinol is low) Thiamine (B1) (when whole blood thiamine is low) Vitamin B6 (when PLP is low) Calcium citrate (guided by calcium, vitamin D, and clinical context) Selenium (when selenium is low, more common in post-bariatric patients) The principle is that I do not add these reflexively