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(2004) No effect of vitamin B-12 treatment on cognitive function and depression: a randomized placebo controlled study

Jessica Hardy's clenbuterol adverse finding linked to a contaminated sports drink, Pavle Jovanovich's positive for 19-norandrostenedione from supplement use, and Simona Halep's Roxadustat case resulting from a product with undisclosed content underscore these risks

Stay well hydrated by drinking plenty of fluids daily (typically 1.52 litres, though people with heart failure or kidney disease should follow their clinician's individualised advice)

However, other situations are due to a persons poor habits

Women who follow vegan or vegetarian diets, have digestive issues (like Crohns or celiac disease), or have had weight-loss surgery may struggle to absorb enough B12 from food