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Long-term human safety data does not exist

While naturopathic doctors wouldnt prescribe B12 for most people without a lab-confirmed deficiency, studies show that B12 injections may improve endurance in athletes

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B vitamins play crucial roles in energy metabolism by aiding in the conversion of carbohydrates, fats, and proteins into usable energy for the body

doi:10.1016/j.ymgme.2009.04.005