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Endurance Athletes: Those participating in long-duration events can benefit from improved energy metabolism and oxygen delivery

It is often prescribed for individuals with pernicious anemia or other conditions that impair B absorption (for example, after gastric surgery or in certain digestive disorders)

CRC Press, 2002 ISBN 9780415280341 p

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Vitamin B12 injections increase blood cell production including white blood cells

A deficiency can also result from not getting enough B12 in what you eat due to various food restrictions