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Even though the body doesnt need large amounts of B 12 vitamin, it plays several critical roles, such as: Energy production Red blood cell formation (hematopoiesis) DNA synthesis Nervous system function Brain development Fatty acid synthesis Myelin formation Cardiovascular health However, B12 absorption isnt always simple
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He hypothesized that lactic acidosis, increased concentration of Krebs cycle metabolites in urine, reduced levels of carnitine in plasma, decreased utilization of glucose in the brain, and lowered ATP levels in these patients are associated with mitochondrial dysfunction [66]
Many patients transition to a lower maintenance dose over time
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