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What Should You Do Next If You Think You Might Be B12 Deficient
That is the evidence gap, stated plainly: the mechanism is well-motivated and the preclinical signal is consistent, but no human study has confirmed that any of it translates to people, at any dose, by any route

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Previous studies in hepatocytes also reported a significant reduction in the rate-limiting enzyme CPT1 and downstream genes involved in FAO as a result of low B12 [14]
