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doi: 10.1136/pgmj.2009.087452 2 BarkhofKoeller

D.Prez-LizrragaE.Hernndez-GarcaM

10.2147/DDDT.S293025 78 LiW.JinH

Hepatic impairment/alcohol use: Consider 23 g/day ceilings, extend dosing intervals, and monitor LFTs for multi-day use

doi: 10.2174/1389450024605445 86 Da CunhaN

Common examples include fatigue or low energy with normal blood results, brain fog or reduced concentration without confirmed vitamin B12 deficiency, stress-related exhaustion or burnout, increased metabolic demand such as during illness recovery, high workload, or intense training, restrictive or inconsistent dietary intake, or suspected poor oral absorption despite normal serum levels