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Conversely, while a deficiency in Vitamin B12 may not cause weight gain, it can decrease energy levels and contribute to fatigue, making it harder to stay active and manage/maintain your weight properly

Key Takeaways NAD is a coenzyme, not a peptide: it supports cellular energy production systemically, meaning it works on every cell in the body at once

It is used when oral supplements are insufficient or absorption issues exist

In addition, B12 is responsible for the formation of red blood cells, which can help fight off anemia and other conditions related to a lack of red blood cells

Although normally vitamin B12 deficiency presents with high MCV, in our case, the near normal MCV could be explained by average size of macrocytes and schistocytes