Your genetics do not cause the autoimmune attack, but they do shape how efficiently you absorb, transport, and use B12 once it is in your system
T2DM impairs the ability of insulin to lower blood glucose levels, resulting in the risk of micro-and macro-vascular complications such as diabetic retinopathy, diabetic neuropathy, diabetic nephropathy, and cardiovascular diseases due to the increased blood glucose, consequently decreased quality of life (13)
Thus, impaired serine synthesis eventually leads to folic acid deficiency
For example, if a patient is doing well on their dose of Zepbound and losing weight gradually, we may decide to continue their current dose
They will also monitor your blood sugar levels closely
Cell 126 , 955968 (2006)