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National Library of Medicine: Indeed, DNA synthesis is impaired by low vitamin B12, which hampers the activation of folate and, as a result, decreases normal red blood cell production, impairing oxygen delivery [62] WebMD indicates, if you have vitamin B12 deficiency, you could become anemic

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Triathlon Magazine: Because of vitamin B12s influence on red blood cells and oxygen transport in the body, it plays a vital role in a triathletes energy levels, health, training and performance

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This risk arises from a potential reduction in intrinsic factor production, crucial for B12 absorption