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10.1002/jps.23708 46 KameiN.ShingakiT.KanayamaY.TanakaM.ZochiR.HasegawaK.et al (2016)

Anyone with signs and symptoms of a vitamin B12 deficiency or pernicious anemia should consult a doctor

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But it does so through different pathways primarily by downregulating IL-6 and other pro-inflammatory cytokines

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My energy level is fine, nothing crazy, as I was afraid it would be with the B12