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doi:10.1016/j.aimed.2020.07.006 123 Alamdari, D

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

Vitamin B12 is also available in tablets and lozenges that people place under the tongue

Iron regulatory proteins 1 and 2 (IRP1 and IRP2) monitor cytoplasmic iron concentrations and post-transcriptionally regulate the expression of genes involved in iron metabolism [24, 25]