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[DOI] [PMC free article] [PubMed] [Google Scholar] 156.Tan D, Ertunc ME, Konduri S, Zhang J, Pinto AM, Chu Q, et al

If you dont have enough red blood cells then your oxygen delivery will be reduced which will then reduce energy production in your cells

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Not automatically, but the risk is high without supplementation

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Forty study participants reacted to the vaccine, and 69 participants did not.[ref] Smallpox vaccines have not been used on the general public in the US in over 47 years, and none of the study participants had previously received a smallpox vaccine.[ref] Read why the author of that smallpox vaccine study does NOT think it shows a reason not to vaccinate