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B12 plays a critical role in energy metabolism and the production of red blood cells, which are essential for delivering oxygen to your muscles

The most common causes include: Inadequate dietary intake (common in vegetarians/vegans) Malabsorption syndromes (e.g., celiac or Crohns disease) Atrophic gastritis Long-term use of acid-reducing medications Pernicious anemia (an autoimmune condition) B12 deficiency is one of the leading reversible causes of anemia

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(1990) and Knivsberg et al

Desmosomes: essential contributors to an integrated intercellular junction network