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According to an article about cobalamin deficiency in Tufts Universitys catnip newsletter, people with cobalamin deficiency also experience changes with intestinal permeability and absorptive function

The Final Takeaway Both oral vitamin B12 supplements and injections have their place in managing and preventing deficiency

Are we in the least bit surprised my blood pressure was raised

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I then discovered that the expiry date on the ampoules in my car was 2019 and they had obviously been exposed to extremes of heat and temperature fluctuations (but had been kept dark)

A deficiency in B12 can lead to neurological problems, including nerve pain