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The mechanism appears to be interference with erythropoiesis

Ive noticed better joints and skin within 2 weeks

doi: 10.1001/jama.2012.113905

The third is duration and safety : short controlled studies in animals say almost nothing about what months or years of exposure would do in a human, which is precisely why the cycling section defaults to scheduled off periods rather than open-ended use

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If you have a deficiency, restoring your B12 levels will help you feel more energetic over time as your metabolism and red blood cell production improve