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The energy-boosting effect is only seen when treating genuine deficiency, where fatigue is a primary symptom

Symptoms of a B12 deficiency can include: Correcting this deficiency can support improvements in many aspects of wellness: B12 may also help support weight loss when incorporated into a program that includes a healthy diet and regular exercise
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[Vitamin B12 content of blood during folic acid therapy of untreated patients with pernicious anemia]

For musculoskeletal injuries, this might include range of motion testing, strength assessments, or imaging follow-up
