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For healthy B12 levels, your body also needs to be able to digest and absorb B12

Underlying Causes: The specific pathogenesis can vary based on the underlying cause of B12 deficiency: Dietary deficiency: Inadequate intake of B12, common in vegans and vegetarians

Instead, it appears to regulate the sensitivity and balance of these systems, producing a more stable effect on motivation and executive function without the crash that follows stimulant use

Biochemistry and clinical chemistry of vitamin B12 transport and the related diseases

doi: 10.1016/j.brainresbull.2009.04.004
