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3.3 Changes in serum cobalamin by supplementation route and dosage Across 35 comparisons, the mean percentage increase in serum cobalamin following supplementation was approximately 293%, confirming the overall effectiveness of vitamin B12 interventions (Supplementary Table S4)

High homocysteine levels can lead to fatigue and weakness

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doi: 10.2460/ajvr.77.6.620

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Mechanical tension, muscle damage, and metabolic stress are primary drivers of hypertrophy, Brad Schoenfeld, Journal of Strength and Conditioning Research