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While vitamin B12 is absolutely essential for your bodys energy production, it doesnt act as a direct stimulant

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Route: Ascent to the first pass (Arapa Pass at 15,745 ft), descent to Yana Cocha Lake (14,765 ft) for a picnic, then ascent to the Extreme Ausangate Pass (15,910 ft)

Macrocytic anemia occurs when your body doesnt have enough normal red blood cells, and can cause symptoms including muscle weakness and paresthesias (paresthesias is the technical term for the pins and needles feeling on your skin)

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