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The therapeutic goals of B 12 treatment are the reversal of metabolic abnormalities and the prevention or reduction of clinical symptoms (fig 1)

These cells deliver essential oxygen to working muscles during exercise, delaying fatigue and enabling longer training sessions or competitive performances

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Mount Sinai, Vitamin B12 deficiency anemia, Niranjan N Singh, Florian P Thomas, Alan L Diamond at al, Vitamin B12-Associated Neurological Diseases, Medscape Mathew, A.R

Treatment decisions are based on individual medical evaluation

Richter B, Sliter DA, Herhaus L, Stolz A, Wang C, Beli P, Zaffagnini G, Wild P, Martens S, Wagner SA, et al