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Additionally, high levels of homocysteine may accumulate due to B12 deficiency

I mentioned that during exercise, the body produces reactive oxygen species (ROS) that can damage cells and tissues, including muscle fibers

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Individuals following strict vegan or vegetarian diet are also at a higher risk of B12 deficiency because plant-based diets typically lack sufficient B12

Its also quite common for people with a blood test reading above these normal levels to still experience the symptoms of a deficiency

While some people might feel a slight pinch or discomfort, it is generally well-tolerated