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Sustainable optimization includes: Nutrition and diet quality Sleep both duration and quality Stress management Physical activity and strength training Hormone balance (assessed properly with lab work) Replacing deficient nutrients before adding new compounds Working with a qualified physician who can monitor for changes Peptides may have a role but they belong inside a comprehensive plan supervised by someone who can monitor your bloodwork, your symptoms, and your overall response over time

17 B12 deficiency is more prevalent in older people as they are more likely to be affected by digestive issues that impair the release of B12 from food, such as pernicious anemia and reduced stomach acid production

This condition should be promptly treated with parenteral vitamin B12 or permanent neurologic damage may occur

Therefore, a measured value is informative, but it is never the whole story by itself

Do vegans need to take vitamin B12 supplements