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Thats why theyre often recommended for people with absorption issues or significant deficiencies
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Your NP will advise the right protocol for your goals
Skip heavy drinking, as alcohol messes with B12 uptake in your gut, leaving you short even with a solid diet
However, high dose oral vitamin B12 therapy can also be effective, provided that the dose is sufficient, medication adherence is good, and a response is documented
Deficiency can lead to peripheral neuropathy, cognitive impairment, and in severe cases, subacute combined degeneration of the spinal cord
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