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The effects of Vitamin B12 deficiency can include fatigue, weakness, numbness, tingling, memory loss, and cognitive decline

Higgins JPT, Thomas J, Chandler J et al (2021) Cochrane handbook for systematic reviews of interventions version 6.2 Sterne JAC, Savovi J, Page MJ et al (2019) RoB 2: a revised tool for assessing risk of bias in randomized trials

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Some research suggests the peptide may enhance mitochondrial fatty acid oxidation through AMPK activation or other metabolic signaling pathways, though this mechanism requires further validation