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They suggest steering clear of non-prescription use

Not to be confused with iron deficiency anaemia, where there aren't enough healthy red blood cells, pernicious anaemia is an autoimmune disease that prevents your body from absorbing B12 and is the most common cause of vitamin B12 deficiency in the UK

This randomized controlled trial demonstrates that 28 days of Vitamin B complex supplementation significantly improved exercise endurance and reduced fatigue-related biomarkers in healthy adults