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Although many of the contradictory results and conclusions reported over the years can be attributed to lack of understanding of established mechanisms, methodological problems, and misinterpretation of data, it is increasingly recognized that some of the reported differences in signaling mechanisms and even a switch in the mode of cell death can be caused by variations in the experimental conditions

But for any of these potential benefits to be studied accurately, the product itself must be flawless

Acta Haematol

As an aside, we are unsure if the fatigue is purely down to B12 deficiency or if its long covid" If your B12 deficiency is not due to diet, I'd expect GP to at least test you for PA and Coeliac disease, two autoimmune conditions that can lead to B12 deficiency