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Athletes should consider B12 supplementation when: Entering intense training periods Preparing for major competitions Experiencing unusual fatigue Following primarily plant-based diets Recovering from injury The timing of B12 injections can significantly impact their effectiveness

Data extraction and quality assessment Two independent authors (NK and BA) identified articles and then extracted the following data regarding general characteristics of the study and population (study's first author, year of publication, study design and location, number of participants and their gender and age, intervention duration, and supplement dosage)

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