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Ophthalmol ., 14 Aug 2024 Sec
Liver Disease: Vitamin B12 stored in the liver can enter the blood in response to damage from conditions such as cirrhosis, hepatitis, or liver cancer 7
doi: 10.1007/s11528-022-00759-0 337
Common contributors include: Declining levels of estrogen , testosterone, or growth hormone Poor or non-restorative sleep Chronic stress and elevated cortisol Metabolic dysfunction or blood sugar dysregulation Cellular energy deficits at the neurological level Because the brain is involved in virtually every system in the body, cognitive symptoms are often a downstream effect of broader imbalances
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