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Endocr Pract 2018
Vitamin B12 deficiency can be caused by not getting enough of it, problems with absorbing it, or taking a medication that interferes with its absorption.
If the skin pulls tight over muscle, cross it off and use something else
It has anti-inflammatory and antioxidant effects and also supports serotonin and GABA production which further supports the above recommendations to trial the amino acids
And presumably evolutionarily our body doesn't like being starved and we're essentially just starving ourselves
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