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These symptoms occur because vitamin B12 deficiency causes a reduction in red blood cell production, which results in less oxygen reaching the tongue

While hyperplasia itself is not cancer, certain types can increase cancer risk if left untreated

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Vitamin B12 deficiency has been associated with peripheral neuropathy and even cognitive deficits, especially in older adults and those with HIV/AIDS, where it supports nerve function and assists in the maintenance of myelin sheath integrity

Athletes subject to WADA, NCAA, or similar testing should assume a positive result regardless of how the peptide was obtained