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Description
The good news is it is treatable with B12 supplements or injections

Keenoy BM, Moorkens G, Vertommen J, De Leeuw I
While naturopathic doctors wouldnt prescribe B12 for most people without a lab-confirmed deficiency, studies show that B12 injections may improve endurance in athletes
Journal of Clinical Endocrinology & Metabolism, 82(5), 14721479
