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Physicians must recognize that pleasure and motivation operate through distinct but related mechanisms, with immediate gratification often undermining rather than supporting long-term goal pursuit

That means most graffiti comes off with just hot water

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It actually indicates that methylcobalamin (a form of B12) or methylfolate (the enzyme needed to convert folate to its active form) is necessary , and likely deficient

Vitamin involvement in leukemo-genesis has been previously described

Its also worth being careful with expectations: if your B12 levels are already normal, injections are unlikely to be a meaningful energy boost