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Fatigue and energy fluctuations Fatigue is a frequently reported side effect, particularly in the first few weeks of treatment and after dose escalations

Vitamwardsin B12 sources and bioavailability. Experimental Biology and Medicine 232(10) (2007): 12661274

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Furthermore, studies have also reported that increased oxidative stress coupled with poor antioxidant status significantly add to the increased cardiovascular risk among these patients. A takeaway: Poor antioxidant status is one way to describe poor diet and nutrition

Understanding these mechanisms highlights the need to diagnose and treat B12 deficiency