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Description
When levels are low, it can lead to fatigue, low endurance, and relying on stimulants to get through the day

Hours vary

The term alkylthio as used herein by itself or as part of another group refers to an thio group which is substituted with one alkyl group having from 1 to 6 carbon atoms

Oral crystalline cyanocobalamin (commonly available form) is the treatment of choice

Avoid known triggers Identify and avoid : Keep track of what exacerbates your symptoms, such as spicy foods, alcohol, hot beverages, and stress, and try to avoid them
