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Bae JH, Choi HJ, Cho KIK, Kim LK, Kwon JS, Cho YM

Growth is concentrated in Shanghai, Beijing, Guangzhou, and Shenzhen, where fitness centers and beauty-wellness clinics incorporate glutathione and citrulline protocols

Certain populations face higher deficiency risk: vegetarians and vegans (B12 is primarily found in animal products), adults over 50 (decreased stomach acid reduces B12 absorption), individuals with digestive disorders like Crohn's disease or celiac disease, and those taking medications like metformin or proton pump inhibitors

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