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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

B12 is required for the synthesis of red blood cells, growth and a childs development, maintaining the nervous system and synthesis of DNA during cell division, which is especially important in regions of rapid cell division such as bone marrow (red blood cell formation)

I wish you well I respect your judgement over mine, but I haven't found any deterioration in ampoules that have been stored in the dark but are a year beyond their date

Long-term Effects : More extensive longitudinal studies are necessary to thoroughly understand long-term safety implications