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Vitamin B12 deficiency is primarily caused by autoimmune pernicious anemia, dietary restrictions such as vegetarian or vegan diets, and medical conditions that interfere with absorption such as celiac and Crohns disease

While its commonly found in foods such as meat, fish, and dairy, some individuals may require vitamin B12 injections to maintain healthy levels

That being said, it may cause severe side effects if an allergy is present or if the individual is also taking certain medications

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MOTS-C , for example, is a mitochondrial-derived peptide that influences energy metabolism