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Protein-leucine threshold for muscle protein synthesis Mozaffarian D, et al

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Early research suggests it may influence certain biological repair pathways

Symptoms of vitamin B-12 deficiency include: Fatigue Difficulty concentrating Decreased mood Loss of appetite Poor memory Constipation Higher-risk groups for vitamin B-12 deficiency include people with intestinal disorders such as Crohns or Celiac disease, as well as those who suffer from muscular degeneration, Lou Gehrigs disease or diabetes

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Small fiber neuropathy occurs when damage to the peripheral nerves affects the small myelinated fibers or unmyelinated C fibers, resulting in loss of fibers or abnormal fiber shapes