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British Journal of Sports Medicine, 45(8), 631-635

Pool exercises are particularly valuable because water provides resistance while supporting body weight

Pregnancy and lactation represent relative contraindications given absence of human safety data in these populations despite reassuring preclinical reproductive toxicology studies

Your provider may recommend occasional injections to support continued fat metabolism and energy levels

It is important not to self-treat suspected B12 deficiency without medical assessment, as the underlying cause requires investigation and neurological complications can become irreversible if left untreated

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