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Sufficient oxygenation is crucial for energy production, so a deficiency in B12 can lead to fatigue and weakness
Acetyl-L- carnitine has been shown to be therapeutic in treatment of this disease [114]
Okawa H, Tomiki M, Ishida T, Kawaguchi H, Wijayagunawardane MP, Takagi M
It is not the only possible explanation, as plateaus happen , but storage should be one of the first things you investigate
Nature 431 , 350355 (2004)
Cyanocobalamin can be a prescription medication or an over-the-counter supplement, and is used to treat a variety of issues, including: Vitamin B12 Deficiency Pernicious Anemia, a condition where an autoimmune attack destroys the protein necessary for vitamin B12 absorption
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