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10.1093/ajcn/nqaa221 18 DoetsE

As an internal and family medicine doctor, Karen Thampoe, MD, provides comprehensive health care for adult and geriatric patients at West Houston Internal Medicine in Katy, Texas and is the owner and Medical Director of Katy Medispa

When the body is deficient in active B12, this mitochondrial pathway backs up, leading to an accumulation of methylmalonic acid (MMA) and a sharp decline in cellular energy output

Within the body, cobalamin acts as a critical coenzyme in two primary and distinct biochemical pathways that are absolutely essential for survival

Numbness or tingling in the hands and feet could be a neurological symptom, emphasizing the importance of addressing B12 levels for nerve health

If you are a strict vegan, for example, you are more likely to suffer deficiencies of various nutrients