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During and immediately following intense exercise, this process is severely compromised

It helps you fall asleep but does not necessarily improve sleep quality once you are asleep

See the research here: Acupuncture & Vitamin B12 Ensuring adequate B12 (ideally verified by labs) whether through diet, supplementation, or injections (when needed) is often a helpful adjunct in supporting nerve recovery and combined with acupuncture can enhance recovery improving the odds of more complete recovery

doi: 10.1038/s41598-020-74678-6 6 TremblayJHametP

On the other hand, mRNA levels of HAVCR2 lymphocyte exhaustion marker did not differ between patients and CTRL