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With B-12 levels replenished, daily energy returns naturally

Regardless, marijuana is prohibited in-competition by the World Anti-Doping Agency, and this status applies to all athletes regardless of the state laws where they live

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Risk factors that should prompt consideration of B12 deficiency include advancing age (reduced stomach acid production), strict vegan or vegetarian diets, pernicious anaemia, gastrointestinal surgery (particularly gastric bypass or ileal resection), long-term use of certain medications (metformin, proton pump inhibitors, H2-receptor antagonists), nitrous oxide exposure (including recreational use), and conditions affecting the gut such as Crohn's disease or coeliac disease