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In fact, its thought that up to 88% of people following these diets have a deficiency ( This is because B12 is only found naturally in animal foods

When deficiency is suspected based on clinical features (fatigue, paraesthesia, cognitive changes) or risk factors (vegan diet, gastric surgery, certain medications), serum B12 measurement guides appropriate intervention

And when you feel more functional, everything else gets easier: workouts, meal prep, and even just getting through the workday

Positions it at the intersection of aging research, metabolic disease, and mitochondrial biology, which are high-priority research areas

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