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Fortified foods , such as cereals or plant-based milk, often provide B12, but not always enough for long-term health

Evidence also suggests that B12 deficiency can cause inflammation and damage to blood vessels, as well as oxidative stress, which combined can interrupt normal blood flow to the feet (Spence, 2016)

cancer treatment or remission within the past five years requires explicit clearance and ongoing supervision from the clinician managing that history

Certain antibiotics, medications used to manage diabetes, and various prescription formulations may contain alcohol-based ingredients or produce metabolites that complicate screening interpretations