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Additionally, there was a limitation related to diet, as participants of the study were Egyptian and may have genetic profiles and diets that differ from other populations

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Hikari Ultra is a Japanese brand that has been around for years

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However, in a subanalysis of participants with low vitamin B 12 status at baseline (n= 101), the B-vitamin supplementation slowed the decline in bone mineral density (total hip and femoral neck but not lumbar spine) (116)

If fatigue persists or worsens, consult your healthcare provider for assessment and potential nutritional or medication adjustments