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The consequences extend beyond simple fatigue: B12 deficiency can trigger mood disturbances, cognitive decline, nerve damage, and compromised immune function

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Anabolic steroids (exogenous [from outside the body] testosterone and testosterone-like drugs) used by some athletes and body builders suppress hormonal signals from the brain that are needed to stimulate normal sperm production and maturation

According to the National Institutes of Health, oral B12 has a 1 to 2 percent absorption rate

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