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While definitive data is limited, some studies suggest pre-exercise dosing may increase the proportion of energy derived from fat during exercise, potentially enhancing training adaptations and fat loss

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Common signs include: Fatigue and weakness Neurological changes, such as numbness or tingling in the hands and feet Megaloblastic anemia, characterized by large, abnormal red blood cells Cognitive difficulties, including memory loss and confusion Early detection and treatment of B12 deficiency can make a big difference