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Not having enough B12 can lead to anaemia, which means your body does not have enough red blood cells to do the job

Chronic low-grade inflammation is associated with reduced training tolerance and difficulty sustaining routines

Sleeping through that first dose at the new level, then resuming your normal morning schedule the following week, can make escalation significantly more tolerable

Omega-3 fatty acids from fish oil or other sources support favorable inflammatory balance

That said, even with triple the vitamin B12 intake, pregnant mothers serum vitamin B12 dipped into the low-to-mid range of normal in this study