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Stress management, overall lifestyle still play a huge role in someones health outcomes. He said results also vary based on individual biology

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Over time it can contribute to anemia and, in more serious cases, nerve problems

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[9] [14] Neurological symptoms associated with B12 deficiencysuch as paraesthesia, ataxia, or cognitive impairmentrequire urgent treatment with more frequent injections (1mg on alternate days initially) to prevent irreversible nerve damage