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Vitamin B12 is not produced naturally in the body and must be obtained through diet or injections

Worth considering especially if you eat little to no red meat since that is the main dietary source Acetyl-L-carnitine crosses the blood-brain barrier and can be converted into acetylcholine, the neurotransmitter for learning and memory Alpha-GPC is another choline source that raises acetylcholine

Male: There is no clear effect on seminal proteins and we anticipate indirect alterations in spermatogenesis

doi: 10.7759/cureus.68063 140 NeogMKRasoolM

A researcher must weigh the potential for destabilizing a fragile immune balance

24 Table 3 Estimated Sensitivity and Specificity of Serum Laboratory Tests for Vitamin B12 Deficiency Pernicious anemia refers to one of the hematologic manifestations of chronic auto-immune gastritis, in which the immune system targets the parietal cells of the stomach or intrinsic factor itself, leading to decreased absorption of vitamin B 12