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I am not a chemist but B12 does seem to be an inherently stable molecule, not least indicated by the fact that the boxes of it have long shelf from production dates on them

After being in practice he noticed the need to integrate for a more collaborative approach with other health care providers for the benefit of the patient

Common B12 deficiency symptoms include fatigue, anxiety, depression, poor memory, confusion, brain fog, tingling or numbness in the extremities, zings or zapping feelings in the extremities, anemia, shortness of breath, muscle weakness, irritability, tender calves, pale complexion and more

Whether declining MOTS-c is a cause or consequence of this deterioration is still being resolved, but the correlation is striking enough that some researchers have proposed plasma MOTS-c as a biomarker of mitochondrial vitality and metabolic age

B-12 Deficiency Treats this common but often overlooked cause of fatigue, weakness, and poor focus

There are other B vitamins that are needed include B1, B2, B3 (niacin), B5, and B6