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In pernicious anemia, antibodies form and begin to attack certain parts of your stomach, rendering it ineffective in absorbing vitamin B12

Daily running distances increased by approximately 150% in exercised mice receiving 5-Amino-1MQ treatment, compared to 75% increase in exercise-only groups, with the treatment group maintaining elevated performance more consistently over the 8-week study period

These people may need vitamin B12 shots to reduce their risk of deficiency, which can lead to pernicious anemia

Oral supplements: can work for mild deficiency and maintenance in people who absorb B12 normally, but tend to take longer and are less reliable when absorption is impaired