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A B12 deficiency can lead to anemia, which reduces the oxygen-carrying capacity of the blood, resulting in fatigue, weakness, and shortness of breath

Covariates Covariates included age, sex, educational level (as total year of formal education), obtained from structured interviews conducted at the beginning of the study, as well as metabolomic assessment shipment (first vs second)

Every individual has a change process due to the natural production of glutathione in the body, liver health, depletion due to aging, chronic stress, poor sleep, and environmental stresses

Nausea, headache, or flushing during early titration often dose- and rate-dependent