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Description
In skeletal muscle specifically, MOTS-c has been shown to enhance glucose transporter-4 (GLUT4) translocation to the cell surface, the molecular mechanism by which muscle cells absorb glucose from the bloodstream

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The patients blood may have returned to normal but that might not mean that they would do as well on tablets as they did on injections

PMID 21676709.

Since the body cannot produce vitamin B12 itself, it is dependent on absorption through food
