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[2] During a monotherapy clinical trial of topiramate in the treatment of epilepsy in adults, the following centrally-mediated effects were reported in patients receiving 50 mg per day vs

Vitamin B12 deficiency is extremely common, affecting up to 15% of the general population

absorption is usually still adequate for most people

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In the short term, insufficient B12 levels can lead to deep fatigue, mood changes, and dementia-like qualities, preventing you from feeling your best and performing at your highest energy level