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If you have vitamin B12 deficiency from pernicious anemia or as a result of bariatric surgery, then you must supplement with vitamin B12 regularly in order to prevent debilitating symptoms such as fatigue, depression, muscle pain, memory loss, and other signs of cognitive and neurological breakdown

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It immediately goes to work in the cytosol, binding to methionine synthase and rapidly converting toxic homocysteine into beneficial methionine

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is indicated for debilitation by acute or chronic metabolism disorders that result from poor nutrition, inadequate management or disease