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I appreciated that they reviewed my history instead of assuming every low-energy problem is a B12 problem

Methods Trial design and participants This phase 3, randomized, double-blind, placebo-controlled study was conducted at 41 sites across five countries (Canada, Italy, Hungary, Spain and the United States), as described in a previous publication 8 and listed in the Supplementary information

A 2024 study found deficiency prevalence ranges from 5% to 52% in vegans, with the wide gap reflecting differences in supplement use

advanced disease may impair hepatic function and alter B12 binding proteins

B12 injections are concentrated doses of vitamin B12, a key nutrient that plays a critical role in how your body creates energy, metabolizes fat, and supports brain and nerve function