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Lifestyle factors such as heavy smoking and drinking or a poor diet over a prolonged period can also lead to low B12 levels or deficiency
In the commonly accepted sequential model: Adipose triglyceride lipase (ATGL) initiates hydrolysis of triglyceride to diacylglycerol
Results can vary depending on individual B12 levels and overall health
You might consider a B12 shot if you follow a vegetarian or vegan diet, since B12 comes mainly from animal foods
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