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However, consumption of any type of vegetarian diet dramatically increases the prevalence of vitamin B 12 deficiency in individuals across all age groups (127, 128)

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You should discuss B12 testing and supplementation with your GP if you have risk factors such as long-term metformin use, restricted diet, significant weight loss, or symptoms of deficiency including neurological changes or unexplained fatigue

the 1 mg arm is the lowest measured human pharmacologic activity: Frias Lancet 2018

It can be helped with treatment, but because theyre unsure what theyre experiencing, most women dont seek any