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B12 deficiency is remarkably prevalent in India more so than in Western populations for several reasons: Dietary Risk: Strict vegetarians and vegans: B12 is found almost exclusively in animal-derived foods (meat, fish, eggs, dairy)

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Vitamin B12 supplements are also created in labs through bacterial fermentation

The team also saw no decline in heart or lung function, suggesting the issue with fatigue is not originating in those organs

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