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For example, someone with severe B12 deficiency and neurological symptoms might need more frequent injections at first

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10.1016/j.bbrc.2025.152519 140 ZhangY.WangS.ChenX.WangZ.WangX.ZhouQ.et al (2022)

So, you could technically lose fat, gain muscle, maybe even drop a clothing size, and see your body weight go up

Damaged mtDNA accumulation and fragmented mitochondria lead to increased production of ROS and activate apoptosis in the tubules (91)