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The Marines and Congress are pushing hard for these new ships to meet the Navys commitment to having at least 31 operational amphibious ships
Coverage is more likely if you have an underlying health condition that prevents your body from properly absorbing Vitamin B12 from food or supplements, such as pernicious anemia or certain gastrointestinal disorders, or if you have had specific surgeries like gastric bypass
That means it is prohibited for tested athletes at all times, both in and out of competition, with no therapeutic-use exemption, and the ban is still in force on the 2026 list

Can Vitamin B12 Be Harmful
