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Internal Medicine Internal Medicine physician with 30+ years focused on metabolic health, nutrition, and deficiency management

Decreases the risk for heart disease as it helps break down fat such as cholesterol

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Vitamin B12 deficiency can manifest in the following clinical conditions: - hyperchromic macrocytic megaloblastic anaemia (pernicious anaemia, Biermer's anaemia, Addison's anaemia), - funicular spinal disease

The lyophilized cake should dissolve clear within a few minutes -- avoid vigorous shaking, which can denature peptides

Signs and symptoms often associated with B12 deficiency include: Fatigue Lethargy Headaches Mouth ulcers Vision changes Brain fog Low energy Irregular sleep patterns Slow metabolism