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A lack of this vitamin B12 could contribute to increased fat buildup and even obesity, on top of fatigue and a lack of energy

For confirmed deficiency or pernicious anaemia, NICE Clinical Knowledge Summaries recommend hydroxocobalamin 1mg intramuscularly, with frequency determined by the underlying cause and neurological involvement

While its main function is to carry out cellular respiration, a process that converts nutrients from food into ATP, there are many other functions mitochondria perform, including metabolic signaling, calcium regulation, autophagy (cellular clean-up) and apoptosis (cell death), neurogenesis (growth of new nerve tissue) and neuronal plasticity (aka neuroplasticity- our brains ability to grow and adapt), as well as the synthesis of other molecules (especially those in the immune system)

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Interactions and Clinical Considerations Chloramphenicol may reduce the blood response to vitamin B12 therapy