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Statements Data availability statement The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding author

Many of the symptoms caused by low B12 levels are not specific to B12 deficiency, which can cause the condition to go undetected

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It is important to distinguish between evidence-based B12 replacement therapywhich is well-established for treating documented deficiencyand the use of lipotropic combinations, which lack robust clinical validation