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B12 injections may be used for people with confirmed B12 deficiency, absorption problems, certain medical conditions or when advised by a healthcare professional

Energy and recovery patterns Marked fatigue after ordinary activity Exercise intolerance or low physical endurance Delayed recovery after infection Variable energy across the day Worsening after fasting or missed meals Neurologic and stress patterns Variable cognitive stamina Brain fog or reduced focus during fatigue Sensory worsening during illness or stress Temperature sensitivity Regression or functional loss during metabolic stress Testing Undermethylation and Mitochondrial Dysfunction in Autism Testing should distinguish possible methylation impairment from mitochondrial stress, oxidative damage, nutrient deficiency and other biochemical patterns that may produce overlapping symptoms

A subgroup of individuals with autism may show evidence of mitochondrial stress or altered energy metabolism

Healthcare providers must weigh the severity of the deficiency against the patients overall health

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