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(2020, July 16)

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Many people will claim that B12 can be obtained naturally through plant-based foods like seaweed, Blue-Green Algae, tempeh, etc., but most of these sources contain B12 analogues, which actually interfere with true B12 absorption (SOURCE)

Chronic treatment should be with an oral B 12preparation

If results remain unexplained, particularly with very high levels, further investigation may include imaging or haematology referral depending on clinical context and associated abnormalities

You could have difficulty walking, concentration issues, confusion, and memory loss in more severe cases, which can get worse the longer you go without addressing your B12 deficiency