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Ultimately, it is estimated that between 6.4% and 8.8% of doping cases are associated with supplement use [40]

In addition, B12 deficiency-associated fatigue is often accompanied by other symptoms such as numbness and tingling, cognitive impairment (memory and concentration problems), mood swings (depression), skin changes (pale skin), shortness of breath, or fast heart rate

doi: 10.1021/acsnano.8b09573
