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Some people, however, struggle to maintain adequate levels of this vitamin due to various factors such as diet, absorption issues, or certain medical conditions

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Now the above explanation will be a red rag to a bull for many patients reading this Blog

Deficiency causes megaloblastic anemia and subacute combined degeneration of the spinal cord

In a clinical context, the term is increasingly used to refer to synthetic peptide compounds sold as dietary supplements or research chemicals, categories that fall outside FDA regulatory oversight