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Chat with your doc about the potential need to supplement with B12

There is no robust clinical evidence that B12 injections enhance energy, alertness, or performance in individuals whose B12 levels are already adequate

A recent meta-analysis of 12 observational studies found that higher dietary intake of vitamin B 12 was associated with a 23% lower risk of depression compared to lower intakes, but stratifying the data revealed a significant protective association in females, not in males (99)

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They have a vague sense of being unwell, and that is all they know