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Something else to consider is that some people might have trouble with the digestion and absorption of the nutrients from vitamin B12 tablets

Enhances Mood and Mental Health: B12 plays a role in synthesizing neurotransmitters, which can improve mood and reduce symptoms of depression and anxiety

References ACS Chemical Biology (2023) Synthetic ERR// Agonist Induces an ERR-Dependent Acute Aerobic Exercise Response and Enhances Exercise Capacity Journal of Pharmacology and Experimental Therapeutics (2024) A Synthetic ERR Agonist Alleviates Metabolic Syndrome Circulation (2024) Novel Pan-ERR Agonists Ameliorate Heart Failure Through Enhancing Cardiac Fatty Acid Metabolism and Mitochondrial Function American Journal of Pathology (2023) Estrogen-Related Receptor Agonism Reverses Mitochondrial Dysfunction and Inflammation in the Aging Kidney

The lack of symptoms doesnt lessen the importance of this life stage, but it does mean that each womans experience is unique