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FBCM is currently considered to be the most common cause of vitamin B12 deficiency, caused by impairment in the release of the vitamin from food, commonly because of conditions such as gastritis, achlorhydria, gastrectomy, use of antacids, or proton pump inhibitors (PPIs), gastric atrophy in the elderly, and Helicobacter pylori infection (63, 74)

Mandelbaum: In sports and performance medicine, we want to promote healing, and we want to improve our muscles and optimize performance preservation is what we call it

Notably, both MSU and Mn 2+ are widely available, involve simple synthetic routes, are inexpensive, and do not rely on complex organic synthesis or biomacromolecular modification, which confers MnUA with clear feasibility and economic advantages for large-scale preparation and practical applications