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The effects of MCT supplementation on neurotransmission and neuroplasticity-related genes cannot be easily explained by global effects such as increased ATP production or reduced oxidative stress and require more detailed studies

However, this is a complex process and isnt exclusive to B12 deficiency neuropathy

Prakash A, Bhatt DL

Table 4: Percent (%) of Patients with Type 2 Diabetes Experiencing at Least One Episode of Severe Hypoglycemia or Hypoglycemia on TRESIBA in Open-Label Adult Clinical Trials *OAD: oral antidiabetic agent, Hypoglycemia: a severe hypoglycemia episode or an episode where a laboratory or a self-measured glucose calibrated to plasma was less than 56 mg/dL or where a whole blood glucose was less than 50 mg/dL (i.e., with or without the presence of hypoglycemic symptoms)

References: Hammer Nutrition Direct