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One of the most profound mechanisms of action is B12's ability to actively support the maintenance of the myelin sheath
Without enough B12, you may experience fatigue, brain fog, low mood, or even anemia
Monitoring your energy levels and discussing any significant changes with your healthcare provider can help manage this side effect
1 If anti-intrinsic factor results are negative but suspicion for pernicious anemia remains, an elevated serum gastrin level is consistent with the diagnosis
Therefore, if you are at high risk of a B12 deficiency, consult with your healthcare provider, who can run a blood test to check your B12 levels
In addition, native cobalamins may directly degrade during the extraction process instead of being converted to CNCbl
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