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I run a Facebook support group for people living with B12 deficiency and Pernicious Anaemia

They tend to be somewhat transient

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10.1164/rccm.200403-385OC 8 BrueggemanL.SturgeonM

While B12 plays a role in cellular energy metabolism, supplementing B12 in a patient who is not deficient does not increase metabolic rate or cause fat loss