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Myelination involves the formation of protective fatty sheaths around nerve endings, which facilitates efficient nerve signal transmission

You may have a deficiency if you are vegan, dont eat enough B12 rich food, or if you have other health conditions which mean you are unable to absorb it properly, such as pernicious anaemia

B12/MIC supports the cellular energy and fat metabolism pathways that lose efficiency with age and stress

It is particularly common in individuals with certain risk factors, including those who have undergone gastric or small intestine resections, have inflammatory bowel disease, use metformin or proton pump inhibitors, follow a vegan diet, or are older than 75 years

According to StatPearls (NCBI), Crohns disease affects approximately 780,000 Americans, with peak incidence in the second and third decades of life