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But liberated fat is useless if mitochondria can't oxidise it efficiently

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Causes include: Pernicious anemia Gastrointestinal or autoimmune disorders Alcoholism Bariatric surgery Strict vegetarian diet Prolonged use of antacids or proton pump inhibitors Advanced age Conditions B12 May Help Prevent or Improve Memory loss, Alzheimers disease, or dementia Fatigue and lack of concentration Weakened immune system Heart, kidney, and liver disease Infertility Osteoporosis Allergies or asthma Tinnitus Skin disorders Lyme disease While oral supplements or nasal gels are alternatives, injections are often necessary when absorption through the digestive tract is impaired

Serious or Rare Side Effects These are less common but require immediate medical attention : Severe nausea or vomiting leading to dehydration Persistent stomach pain (which could indicate pancreatitis) Gallbladder issues such as gallstones or inflammation Rapid heartbeat or dizziness Allergic reactions (rash, swelling, or difficulty breathing) Who Should Be Cautious