The liver stores B12, and these stores can last a significant time (up to several years for non-deficient individuals), but when they are depleted, it takes consistent input to rebuild and maintain them
Spirulina supplementation improves oxygen uptake in arm cycling exercise
Bloem et al., 2007)
Specifically, this action on the metabolism of long-chain fatty acids, through the help of many enzymes, including Carnitine-acyltransferase, modulates their concentration at the level of the mitochondria where they are then used to produce energy
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