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It has been studied for its lipolytic activity independent of growth-promoting effects

Therefore, there are occasions when a B12 deficiency can occur without anemia, megaloblastosis, or initial symptoms if there is a high intake of folates, which further complicates early diagnosis and can worsen symptoms, as symptoms (many of which are serious) may appear suddenly at a later stage, having been masked by the deficiency until then

Patients experience the benefits of increased energy and improved nerve functioning

The babies of pregnant or breastfeeding vegetarians or vegans are also at risk unless the mother supplements or eats fortified foods