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They can consume fortified foods like plant-based milk, Vitamin B12-fortified cereals, and Vitamin B12 supplements

Sleep problems may be unrelated to B12 and require separate evaluation

The systematic review protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO), registration number: CRD42024554513 (Available from) ( 2.2 PICOs question The primary research question addressed in this review was: What is the effectiveness of sublingual/oral administration of Vitamin B12 alone or compared to other forms of administration (e.g., intramuscular injection)?

Choline is a lipotropic nutrient, also part of the vitamin B family, which helps to remove excess fat from the liver and fight fatigue