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Biotin also plays numerous roles in maintaining healthy blood sugar balance, such as stimulating glucose-induced insulin secretion, enhancing insulin sensitivity and accelerating glucose metabolism in the liver and pancreas

Hyperglycemic action of synthetic C-terminal fragments of human growth hormone

Heart palpitations Pallid skin Constipation, diarrhea, and gassiness Vision loss Numbness or tingling in the extremities Depression and memory loss Sore tongue Confusion and hallucinations Personality changes Reduced sensitivity to pain or pressure Often these symptoms take several months to a year to develop and recognize, however, if youre a vegan or vegetarian and feel down or fatigued, you may be B12 deficient

It contributes to the healthy functioning of the brain, nerves, and blood cells

Ethics declarations Competing interests The authors declared that no competing interests exist