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In fact, the US Anti-Doping Authority says there is a concerning lack of published clinical trial data because studies appear to have been cancelled or stopped without any published conclusions
doi: 10.1001/JAMANETWORKOPEN.2022.3711
Additional tests may be performed to assess the functionality of the intrinsic factor, a protein necessary for vitamin B12 absorption
For example, MedlinePlus notes that Lack of vitamin B may cause anemia
