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Directly treating symptoms like vaginal dryness, irritation, or pain is usually the first step

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Here are the specific energy and cognitive symptoms that targeted supplementation can address: Profound Fatigue and Post-Exertional Malaise (PEM): By unblocking the methylmalonyl-CoA pathway and feeding succinyl-CoA directly into the mitochondrial Krebs cycle, B12 restores the cellular capacity to generate ATP