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This can be even more problematic

If appetite is low, prioritize protein density

We recommend vitamin B12 injections for people aged 18 and above, who may experience low energy levels, brain fog, or other associated symptoms

Those who follow a strict vegetarian or vegan diet without compensating with B12 fortified food for example ( vitamin B12 binds to animal proteins), or have low vitamin B12 levels due to a health condition that might affect vitamin B12 release and absorption, might have difficulty reaching their vitamin b12 requirements

All the information I shared in this blog provided education about Vit B12 & skin issues