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Then, we'll review your medical history, looking at things like your diet (especially if you're vegan or vegetarian), your age, any stomach or gut conditions, past surgeries, and even the medicines you take, like metformin or proton pump inhibitors, which can sometimes affect B12 levels

Increased Fiber Intake: Consuming a diet rich in fiber can ease bowel movements and reduce straining

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The most common side effects from very high doses are mild digestive issues, such as diarrhea, nausea, or stomach cramps (2)

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Curr Opin Microbiol (1999) 2:18894