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Y.YangT.TianJ.et al (2019)

When To See A Doctor Book an appointment if you have symptoms suggestive of deficiency (persistent fatigue, pale or jaundiced skin, mouth soreness, numbness or tingling, balance changes, memory or mood issues), especially if youre vegan/vegetarian without fortified foods, over 50, postbariatric surgery, or on long-term metformin or acid-suppressing medicines

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Gradual tapering or cycling: reduce reliance on interventions as the body heals and incorporate long-term maintenance strategies such as strength training and tailored nutrition