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1,2 Serum vitamin B 12 levels may be artificially elevated in patients with alcoholism, liver disease, or cancer because of decreased hepatic clearance of transport proteins and resultant higher circulating levels of vitamin B 12

Katie Rizzone, a sports-medicine specialist at the University of Rochester

Folic Acid: Folic acid is also known as Vitamin B9 and it is required for DNA synthesis and optimal neurological function

This process is important for maintaining muscle health and supporting nervous system function

Its primary benefits include enhanced muscle development and improved metabolic efficiency, making it ideal for individuals focused on performance enhancement

A third group have systematic or widespread symptoms characterized by the presence of widespread pain 26 (significant non-urologic pain outside the pelvis), COPC (e.g., fibromyalgia, IBS), 25 widespread psychosocial difficulties (e.g., anxiety, depression, higher levels of current and lifetime stress, early life and adult traumatic events, negative affect, poor illness coping), 36 or poly-symptomatic, poly-syndromic(PSPS) presentation with widespread somatic symptoms across multiple organ systems