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Notably, it increases the risk for the development of heart failure [221, 222]

doi: 10.21037/tau.2018.05.17 24 GiulioniCMauriziVDe StefanoVPolisiniGTeohJY-CMilaneseGet al

In Arlington, where a growing number of individuals embrace plant-based lifestyles or manage busy schedules that disrupt consistent, balanced eating, B12 deficiency can easily go unnoticedyet it might be affecting your energy levels, mood, and metabolism

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[PMID: 25954298] PubMed record related to this compound for laboratory literature review

If you have a temporary deficiency or increased requirement (say, after a surgery or during recovery from an acute illness), you might only need a short course, perhaps a few weeks of injections, until your vitamin levels normalize or you can meet your needs by mouth again