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10.1136/bmjopen-2013-004501 28 JadadA

It is often combined with CJC 1295 in unregulated products, with proponents claiming additive or synergistic effects on muscle growth and fat loss

Defining the levels of MMA or homocysteine that are definitely pathologic is difficult

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Other symptoms of vitamin B12 deficiency include: Rapid breathing or shortness of breath Headaches Indigestion Diarrhea Loss of appetite Problems with vision Feeling weak or tired Psychological problems, which can range from mild depression or anxiety to confusion and dementia Blood tests are the most common way to diagnose a vitamin B-12 deficiency