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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)

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Untreated vitamin B12 deficiency may contribute to long-term neurological complications over time

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Current Opinion in Investigational Drugs, 7(4), 312-318

However, if you lose immune tolerance, small amounts of these compounds cause your immune system to release numerous inflammatory compounds and set the stage for autoimmune destruction and disorders and neurodegeneration concerns