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Endurance athletes face unique challenges that may increase B12 needs: prolonged training sessions stress the digestive system, potentially impairing absorption, while increased red blood cell turnover demands consistent B12 availability

Hormones may be important to address especially if you are going into perimenopause/menopause are post-menopausal, are breastfeeding, have been on oral contraceptive pills, or other medications related to altering hormonal status (such as medications used for breast cancer or endometriosis, etc.) and are experiencing these symptoms

Avoid or limit alcohol consumption while taking this medication.

These options have different evidence bases, mechanisms, and adverse-effect profiles from KLOW

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