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It can also result in pernicious anemia which occurs when your body does not have enough vitamin B12 to produce the required amount of red blood cells

What is largely agreed on, however, is that B12 deficiency can reduce energy levels and therefore make it harder to stay active and maintain a healthy weight

This is where further workup becomes important

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Create functional folate deficiency (a buildup of inactive folate that can't do its job), because B12 is a cofactor for the enzyme that turns inactive folate into active folate