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Certain healthcare providers or weight loss clinics can issue these scripts

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This surplus of electron donors in the mitochondrial electron transport chain can overwhelm and impair mitochondrial complex I (Yan et al., 2016)

Others who may be more susceptible to vitamin B12 deficiency are patients diagnosed with Crohns disease or celiac disease, and those who have undergone intestinal procedures such as weight loss surgery

The researchers didnt find such an association in women, and it was mostly seen among men who smoked