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While no mechanism suggests delayed toxicity, this cannot be completely ruled out without long-term controlled studies
Symptoms associated with vitamin B12 deficiency include fatigue and lack of energy (due to anemia), and depression, psychosis and even dementia
Additionally, improved metabolic efficiency ensures that muscles receive adequate energy to function and recover from excerise, further supporting their preservation
People who have had bariatric surgery Previous bariatric surgery, particularly gastric bypass, permanently alters the digestive anatomy in ways that reduce B12 absorption
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