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These include: Hemodialysis Hemodialysis also often involves blood transfusion and/or administration of erythropoietin or its analogs either of which also require a TUE Treatment for Sickle Cell Disease involves homologous blood transfusions which are prohibited If an athlete requires a Prohibited treatment involving the removal and reintroduction of blood into the circulation for any legitimate medical condition, they should apply for a Therapeutic Use Exemption (TUE) before undergoing the treatment

B vitamins are involved in energy production, metabolism, nervous system function, and overall cellular health

You should also inform your doctor right away in case you encounter any of the following serious side effects

Homocysteine is a type of amino acid that populates your bloodstream, and vitamin B12 lowers this level

Table 1: Patient Risk Factors Associated with B 12 Deficiency Bold represents factors associated with more rapid onset of clinical symptoms i.e., within 5 years