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For comparison of three or more groups, one-way analysis of variance (ANOVA) followed by Tukeys post hoc test was used to analyze the results

Why Deficiency Matters Even mild deficiency can cause wide-ranging symptoms: Persistent fatigue or low energy Brain fog, mood changes, or poor concentration Tingling or numbness in hands and feet Pale skin or shortness of breath Reduced immune function These occur because B12 is critical for oxygen transport and nerve conduction

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Increased energy is often the first noticeable change, followed by gradual improvements in body composition over subsequent weeks

Swallow with a glass of water or a cold drink