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In any situation where carbohydrates are the major energy source, or when glucose is added to the diet, thiamine requirement is increased significantly

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This episode covers: What HART Hubs are What services they provide What they do not include The biggest criticisms and concerns Why harm reduction still matters Whether abstinence-based systems leave some people behind This is an honest conversation about addiction policy, overdose risk, treatment readiness, and what actually helps people survive long enough to have a chance at recovery

In summary, one abstract on B12 deficiency does not overturn the massive weight of evidence that supports supplementation with bio-identical, native methylcobalamin, especially for pernicious anemia patients