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Many praise it for improving recovery and healing, cognition, and performance

The NIH Office of Dietary Supplements and the American Academy of Family Physicians identify the following groups as most vulnerable: Adults over 50 Age-related decline in stomach acid production reduces the ability to release B12 from food proteins

indicates that while the tests sensitivity is about 70% when compared to nerve conduction studies (NCS) and autonomic function testing (AFT), its specificity and negative predictive value are extremely low0% against AFT and 20% against NCS

1997 Nov-Dec Cristiana Paul, David M Brady

After 4-6 weeks, degradation may affect effectiveness even under ideal conditions

Mechanisms studied in the literature This section summarises what is being studied , not what is claimed to occur in humans