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Vitamin B12 supports endurance through three mechanisms: red blood cell production that drives oxygen delivery, nervous system myelin synthesis, and converting carbohydrate and fat into ATP

Malabsorption of vitamin B12, resulting from structural or functional damage to the stomach, where intrinsic factor is secreted or to the ileum, where intrinsic factor facilitates vitamin B12 absorption

Subcutaneous vitamin B12 administration using a portable infusion pump in cobalamin-related remethylation disorders: A gentle and easy to use alternative to intramuscular injections