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However, the level of methylmalonic acid in serum is measured if the suspicion is strong and B12 level is low normal (Budson & Solomon, 2015)

5 The absolute risk increase is small (around 3 extra cases for every 1,000 people taking the medication for a year), and the effect is partly explained by weight loss rather than the medication itself

This article explores the scientific evidence, clarifies when B12 supplementation might be associated with anxiety-like symptoms, and provides guidance on safe management aligned with UK clinical practice and NICE recommendations

Nervous System Support : Vitamin B12 keeps our nervous system healthy

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