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fat mass), fasting glucose levels, insulin sensitivity assays, lipid panels, and even mitochondrial function assessments
Competitive athletes should be aware of WADAs S0 prohibition on non-approved substances
This matters because many adults with low B12, whether from dietary restriction, aging, or conditions like pernicious anemia, cannot absorb enough B12 through food or oral supplements alone
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Negative side effects may include a paradoxical decrease in energy levels (most likely due to detoxification from methylation) or slight pain at the injection site which diminishes over 5-10 days
Athletes at Higher Risk Vegetarian and vegan athletes who do not regularly eat fortified foods are at an increased risk of deficiency and should test levels regularly
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