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Risk factors for vitamin B12 deficiency include older age, strict vegetarian diets, and side effects of some medications

Youre focused on endurance performance or metabolic flexibility

High levels of amino acid in the blood increases the chance of heart disease, sudden death of brain cells, Dementia, and porous bones.The deficiency of B12 in the body may result in pernicious anemia , low red blood cells in the body, tiredness, breathlessness, unusual fast beating of the heart

Patients should be told this directly, and it should appear in the consent conversation

See this reference from the National Institutes of Health about how much calcium you need for your sex and age, and how to get as much as possible from diet