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Figure 3 Clinical translation and human data taxonomy The translation of these mechanisms into human clinical data requires a strict evidence taxonomy to avoid conflating metabolic improvements with intrinsic disease modification

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Vitamin B12 deficiency can occur due to dietary restrictions (vegetarian or vegan diets), absorption issues (pernicious anemia or gut disorders like celiac disease or Crohns disease), age-related changes in elderly patients, or long-term use of certain medicines

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The most effective way to treat a deficiency, other than reintegrating B12-rich foods into the diet, is through injection

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