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[DOI] [PMC free article] [PubMed] [Google Scholar] 14.Heymsfield SB, Greenberg AS, Fujioka K, et al

While the study does not establish a causal relationship, there are several potential mechanisms that could explain how Vitamin B12 supports testosterone production

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If symptoms suggest deficiency but serum B12 looks normal, ask for a methylmalonic acid (MMA) test it detects cellular deficiency earlier