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Vitamin B12 (cobalamin) is a water-soluble vitamin found naturally in animal foods like meat, fish, dairy, and eggs

"Cobalamin and folate status in infants and young children in a low-to-middle income community in India"

There is also the issue of muscle loss

Abstract Nicotinamide adenine dinucleotide (NAD + ) and its metabolites function as critical regulators to maintain physiologic processes, enabling the plastic cells to adapt to environmental changes including nutrient perturbation, genotoxic factors, circadian disorder, infection, inflammation and xenobiotics

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