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Low B12 can cause issues with anaemia, fatigue, and lack of focus

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This is not a universal contraindication but it warrants a specialist conversation

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Numbness or tingling in hands and feet Peripheral nerve changes are a more serious sign of prolonged deficiency

high consumption of processed and refined food, with lack of dairy and meat-based food in diet, excessive consumption of alcohol, impaired absorption from the gastrointestinal tract or impaired storage and use by liver (1)