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Statistical analysis To ascertain the impact of different variables on the research parameters, statistical analysis was performed using SPSS version 25 for Windows (RRID: SCR 016479)

doi: 10.1016/j.exer.2012.06.007 208 ChandlerHLReuterKSSinnottLTNicholsJJ

Anyone can be affected, but some groups are more at risk: Vegetarians and vegans, since B12 mainly comes from animal products Older adults, as absorption gets harder with age People with digestive issues like Crohns or coeliac disease Those taking certain medications, such as long-term metformin or stomach acid reducers People with pernicious anaemia, an autoimmune condition that stops you from absorbing B12 If you fit into one of these categories and notice symptoms, its worth getting your levels checked

Weight loss medications like tirzepatide require monitoring and dose adjustments based on your response and tolerance

Prevention: Follow your provider prescribed titration schedule

MADD, multiple acyl-CoA dehydrogenase deficiency