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It's possible to have severe B12 deficiency symptoms with a normal range or even above range serum B12 result

Bacteriostatic water inhibits bacterial growth but does not sterilise the solution

[2] It is important to note that whilst fatigue and general malaise may improve relatively quickly, complete symptom resolution requires adequate time for the body to replenish B12 stores and repair affected tissues

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Symptoms of Vitamin B-12 Deficiency Fatigue and Weakness Low Moods Low Concentration Level Loss of Appetite Constipation Poor Memory Foods Rich in Vitamin B-12 Beef and chicken liver Wild-caught fish such as salmon, trout, and tuna Grass-fed beef and lamb Pasture-raised poultry Organic dairy products like milk and yogurt Who Is Most Likely to Have a Vitamin B-12 Deficiency