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Some people struggle to absorb Vitamin B12 properly even with a balanced diet

Without enough B12, this process slows downleading to fatigue, sluggish metabolism, and difficulty losing weight

Additionally, an effective glucose metabolism is positively correlated with peripheral oxidative phosphorylation capacity

Furthermore, there were widespread arterial and venous thrombosis, vein congestion (inferior caval vein and superior mesenteric vein) or failure (i.e., azygos vein), and severe intracranial (superior sagittal sinus), portal and caval hypertension and aortal hypotension

It is approved in some countries for specific medical conditions such as chronic hepatitis