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This B12-intrinsic factor complex travels to the ileum, where it attaches to specific receptors and is absorbed into the bloodstream

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But in Type 1 diabetes: They do not replace insulin They may promote ketogenesis Insulin dose reductions can trigger euglycemic DKA Appetite suppression and GI effects may worsen metabolic instability Type 1 diabetes management requires maintaining enough insulin not only for glucose control, but also to suppress ketone production

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