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Ethics declarations Competing interests SJW is the founder of Ridgeline Therapeutics, HN is a paid employee of Ridgeline Therapeutics and, since manuscript submission, ADW has also become a paid employee of Ridgeline Therapeutics

Vitamin B12, also known as cobalamin, is a vital nutrient that plays a crucial role in various bodily functions, including red blood cell formation, neurological health, and energy metabolism

The symptoms of vitamin B12 deficiency often develop slowly and gradually strengthen over time, according to Harvard Health Publishing, though in some cases they may come on quickly

They reflect the accelerated rate at which microbial activity increases at higher temperatures