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Parasympathetic nerve As another major component of the autonomic nervous system that neutralizes sympathetic activity, and has a complete mediated pathway to the pancreas, the parasympathetic nervous system plays an important role in maintaining metabolic homeostasis, such as maintaining blood sugar (107)

[DOI] [PubMed] [Google Scholar] Tamemoto H, Kadowaki T, Tobe K, Yagi T, Sakura H, Hayakawa T, et al

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Semin Pediatr neurology

Both approaches have merit

B12 injections are often preferred, especially in cases of malabsorption (where your body struggles to absorb B12 from food or tablets), as they deliver the vitamin directly into your bloodstream, bypassing any gut issues