What Are B12 Rich Foods And How Can They Benefit You?

Are you looking for reliable information on What Are B12 Rich Foods? Look no further! FOODS.EDU.VN provides a comprehensive guide to help you discover the best dietary sources of Vitamin B12 and understand their crucial role in maintaining your health. Whether you’re a student, a busy parent, or a culinary enthusiast, we offer accessible, expert-backed insights to enhance your nutritional knowledge. Dive in to explore delicious and nutritious foods packed with Vitamin B12, ensuring you meet your daily requirements. You’ll also find tips on meal planning and dietary adjustments to boost your B12 intake, supporting your overall wellness journey with FOODS.EDU.VN.

1. Why Is Vitamin B12 Important?

Vitamin B12, also known as cobalamin, is an essential nutrient that your body needs but cannot produce on its own. It plays a vital role in numerous bodily functions. These functions include nerve function, DNA synthesis, and the formation of red blood cells. Understanding why vitamin B12 is crucial can help you make informed dietary choices and maintain optimal health.

1.1. Key Functions of Vitamin B12

  • Nerve Function: Vitamin B12 helps maintain the myelin sheath, a protective covering around nerve fibers. This sheath ensures proper nerve signal transmission.
  • DNA Synthesis: It is essential for the creation of DNA, the genetic material in all cells.
  • Red Blood Cell Formation: B12 supports the production of healthy red blood cells, preventing a type of anemia called megaloblastic anemia.

1.2. Health Benefits of Adequate B12 Intake

Ensuring you get enough vitamin B12 offers several health advantages:

  • Improved Energy Levels: B12 helps convert food into glucose, providing sustained energy throughout the day.
  • Enhanced Cognitive Function: Adequate B12 levels are linked to better memory and cognitive performance.
  • Support for Mental Health: Studies suggest B12 can play a role in managing mood disorders like depression.

1.3. Consequences of Vitamin B12 Deficiency

A deficiency in vitamin B12 can lead to various health problems:

  • Anemia: Fatigue, weakness, and shortness of breath due to reduced red blood cell production.
  • Neurological Issues: Numbness, tingling, difficulty walking, and memory problems.
  • Digestive Problems: Loss of appetite, nausea, diarrhea, and constipation.

Regularly including B12 rich foods in your diet or considering supplements can prevent these deficiencies and promote overall well-being. FOODS.EDU.VN provides detailed articles on recognizing and addressing vitamin deficiencies.

2. Who Is At Risk of Vitamin B12 Deficiency?

Several groups of people are more prone to vitamin B12 deficiency due to dietary habits, medical conditions, or age-related factors. Identifying these risk groups is the first step in preventing deficiencies and maintaining good health.

2.1. Vegans and Vegetarians

Vitamin B12 is primarily found in animal products. Therefore, individuals following vegan or strict vegetarian diets are at a higher risk of deficiency. Without careful planning or supplementation, it can be challenging to obtain sufficient B12 from plant-based sources alone.

2.2. Older Adults

As people age, their ability to absorb vitamin B12 from food decreases. This is often due to reduced stomach acid production, which is necessary to release B12 from food during digestion. Older adults may require fortified foods or supplements to meet their B12 needs.

2.3. People with Gastrointestinal Disorders

Conditions that affect the digestive system, such as Crohn’s disease, celiac disease, and atrophic gastritis, can impair the absorption of vitamin B12. These disorders can damage the lining of the stomach and intestines, reducing the body’s ability to extract and utilize B12 from food.

2.4. Individuals with Pernicious Anemia

Pernicious anemia is an autoimmune condition that affects the production of intrinsic factor, a protein needed for B12 absorption in the small intestine. Without intrinsic factor, the body cannot absorb B12, leading to deficiency.

2.5. People Taking Certain Medications

Certain medications, such as proton pump inhibitors (PPIs) and metformin, can interfere with B12 absorption. PPIs reduce stomach acid, while metformin, commonly used for diabetes management, can affect B12 uptake in the intestines.

If you fall into any of these categories, it’s essential to monitor your B12 levels regularly and consider dietary adjustments or supplementation. FOODS.EDU.VN offers personalized dietary advice to help manage and prevent deficiencies.

3. What Are B12 Rich Foods?

Identifying and incorporating B12 rich foods into your diet is crucial for maintaining optimal health, especially if you are at risk of deficiency. Here are some of the top food sources of vitamin B12, categorized for easy reference.

3.1. Animal Products

Animal products are naturally rich in vitamin B12, making them primary sources for non-vegetarians.

  • Beef Liver: Liver is one of the most concentrated sources of B12. A single serving can provide well over the daily recommended intake.
  • Other Meats: Beef, lamb, and pork contain significant amounts of B12. Choose lean cuts to balance B12 intake with overall health.
  • Fish: Fatty fish like salmon, tuna, and trout are excellent sources of B12. They also provide omega-3 fatty acids, which are beneficial for heart health.
  • Shellfish: Clams, oysters, and mussels are packed with B12. These can be great additions to a balanced diet.

3.2. Dairy Products

Dairy products are another good source of vitamin B12 and are often more accessible than meats or fish.

  • Milk: Both cow’s milk and goat’s milk contain B12. Choose fortified options for an extra boost.
  • Cheese: Certain cheeses, such as Swiss and mozzarella, are good sources of B12.
  • Yogurt: Yogurt, especially Greek yogurt, can provide a significant amount of B12.

3.3. Eggs

Eggs are a versatile and accessible source of vitamin B12.

  • Whole Eggs: Both the yolk and white contain B12, but the yolk has a higher concentration.

3.4. Fortified Foods

Fortified foods are plant-based products that have been supplemented with vitamin B12. They are particularly important for vegans and vegetarians.

  • Fortified Breakfast Cereals: Many breakfast cereals are fortified with B12. Check the nutrition labels to ensure they meet your needs.
  • Fortified Plant-Based Milks: Soy milk, almond milk, and oat milk are often fortified with B12, making them suitable alternatives to dairy milk.
  • Nutritional Yeast: This is a popular vegan food product that is often fortified with B12. It has a cheesy flavor and can be used in various dishes.

3.5. B12 Rich Foods Chart

Food Serving Size B12 Content (mcg) % Daily Value
Beef Liver 3 oz 70.7 1178%
Clams 3 oz 98.9 1648%
Salmon 3 oz 2.6 43%
Fortified Breakfast Cereal 1 cup 6.0 100%
Milk 1 cup 1.2 20%
Egg 1 large 0.6 10%

Incorporating a variety of these B12 rich foods into your diet will help you meet your daily requirements and maintain overall health. FOODS.EDU.VN offers a range of recipes and meal plans to help you incorporate these foods into your daily meals.

4. Understanding Vitamin B12 Content in Foods

Comprehending the vitamin B12 content in various foods is essential for those looking to optimize their dietary intake. This understanding enables individuals to make well-informed decisions, especially if they have dietary restrictions or specific health needs.

4.1. Factors Affecting B12 Levels in Food

Several factors can influence the B12 levels in food:

  • Animal Diet: The diet of animals affects the B12 content in their meat, dairy, and eggs. Animals fed B12-supplemented feed will produce food products with higher B12 levels.
  • Cooking Methods: High heat and prolonged cooking times can reduce the B12 content in foods. Steaming or gentle cooking methods are preferable.
  • Storage: Proper storage is crucial to maintain the nutritional content of food. Keep B12 rich foods refrigerated to preserve their vitamin content.

4.2. How to Read Nutrition Labels for B12 Content

When selecting fortified foods, reading nutrition labels carefully is vital:

  • Serving Size: Pay attention to the serving size listed on the label. The B12 content is usually given per serving.
  • % Daily Value (%DV): The %DV indicates how much of the daily recommended intake of B12 is provided in one serving. Aim for foods with a higher %DV.
  • Ingredients List: Check the ingredients list to confirm that the food is indeed fortified with vitamin B12.

4.3. Comparing B12 Content Across Different Foods

Comparing the B12 content across different foods can help you make the best choices for your diet:

  • Meat vs. Dairy: Meats, especially organ meats like liver, generally have higher B12 levels than dairy products. However, dairy can still be a significant source, particularly if consumed regularly.
  • Fortified Foods vs. Natural Sources: Fortified foods can provide a reliable source of B12, especially for those who do not consume animal products. However, natural sources often come with additional nutrients and health benefits.

Understanding these factors and how to interpret nutrition labels will empower you to make informed decisions about your B12 intake. FOODS.EDU.VN provides resources and tools to help you track your nutrient intake and plan balanced meals.

5. How Much Vitamin B12 Do You Need?

Determining the right amount of vitamin B12 intake is essential for maintaining optimal health. The recommended daily allowance varies based on age, lifestyle, and specific health conditions. Understanding these guidelines can help you tailor your diet to meet your individual needs.

5.1. Recommended Daily Allowance (RDA) for Different Age Groups

The Recommended Daily Allowance (RDA) for vitamin B12 varies by age:

  • Infants (0-6 months): 0.4 mcg
  • Infants (7-12 months): 0.5 mcg
  • Children (1-3 years): 0.9 mcg
  • Children (4-8 years): 1.2 mcg
  • Children (9-13 years): 1.8 mcg
  • Adolescents (14-18 years): 2.4 mcg
  • Adults (19+ years): 2.4 mcg
  • Pregnant Women: 2.6 mcg
  • Breastfeeding Women: 2.8 mcg

5.2. Factors Influencing B12 Requirements

Several factors can influence your B12 requirements:

  • Dietary Choices: Vegans and vegetarians typically need to supplement their B12 intake due to the absence of animal products in their diet.
  • Age: Older adults may require higher intakes due to reduced absorption efficiency.
  • Medical Conditions: Conditions affecting the digestive system can increase the need for B12 supplementation.
  • Medications: Certain medications can interfere with B12 absorption, necessitating higher intakes.

5.3. How to Ensure You Meet Your Daily B12 Needs

Here are some practical ways to ensure you meet your daily B12 needs:

  • Eat a Variety of B12 Rich Foods: Include a mix of meat, fish, dairy, and eggs in your diet.
  • Choose Fortified Foods: Opt for fortified cereals, plant-based milks, and nutritional yeast.
  • Consider Supplements: If you are at risk of deficiency, consider taking a B12 supplement. Consult with a healthcare provider to determine the appropriate dosage.
  • Regular Monitoring: Regularly check your B12 levels, especially if you have risk factors for deficiency.

Understanding your individual B12 needs and taking proactive steps to meet them will help you maintain optimal health and prevent deficiencies. FOODS.EDU.VN offers personalized nutrition plans tailored to your specific health requirements.

6. Vitamin B12 Supplements: Types and How to Choose

Vitamin B12 supplements are an effective way to ensure you meet your daily requirements, especially if you are at risk of deficiency or have dietary restrictions. Understanding the different types of supplements and how to choose the right one is crucial for maximizing their benefits.

6.1. Types of B12 Supplements Available

Several forms of vitamin B12 supplements are available:

  • Cyanocobalamin: This is the most common and cost-effective form of B12. It is a synthetic form that the body converts into active forms.
  • Methylcobalamin: This is a naturally occurring, active form of B12. Some believe it is more readily absorbed and utilized by the body.
  • Adenosylcobalamin: Another active form of B12, often found in cellular tissues.
  • Hydroxocobalamin: This form is often used in injections and is gradually converted into active forms in the body.

6.2. Factors to Consider When Choosing a Supplement

When selecting a B12 supplement, consider the following:

  • Form of B12: Methylcobalamin and adenosylcobalamin are active forms and may be preferable for some individuals. However, cyanocobalamin is also effective and more widely available.
  • Dosage: The appropriate dosage depends on your individual needs. Consult with a healthcare provider to determine the right amount for you.
  • Route of Administration: B12 supplements are available in oral, sublingual (under the tongue), and injectable forms. Sublingual and injectable forms may be more effective for those with absorption issues.
  • Third-Party Testing: Choose supplements that have been tested by a third-party organization to ensure quality and purity.

6.3. Potential Benefits and Risks of B12 Supplements

B12 supplements offer several benefits:

  • Preventing Deficiency: Supplements can effectively prevent and treat B12 deficiency.
  • Improved Energy Levels: Adequate B12 levels can boost energy and reduce fatigue.
  • Enhanced Cognitive Function: B12 supplementation may improve cognitive function, particularly in older adults.

However, there are also potential risks:

  • Interactions with Medications: B12 supplements can interact with certain medications. Consult with a healthcare provider if you are taking other medications.
  • Overdose: While B12 is generally safe, high doses can cause side effects in some individuals. Stick to the recommended dosage.

Choosing the right B12 supplement can significantly improve your health, especially if you are at risk of deficiency. FOODS.EDU.VN provides expert advice on selecting and using supplements safely and effectively.

7. Delicious Recipes Featuring B12 Rich Foods

Incorporating B12 rich foods into your diet doesn’t have to be a chore. With a little creativity, you can create delicious and nutritious meals that help you meet your daily B12 requirements. Here are a few recipe ideas to get you started.

7.1. Breakfast Ideas

  • Fortified Cereal with Berries and Almond Milk: Start your day with a bowl of fortified breakfast cereal topped with fresh berries and fortified almond milk for a quick and easy B12 boost.
  • Scrambled Eggs with Smoked Salmon: Enjoy a protein-packed breakfast with scrambled eggs and smoked salmon, providing both B12 and omega-3 fatty acids.

7.2. Lunch Ideas

  • Tuna Salad Sandwich on Whole Grain Bread: Make a classic tuna salad sandwich using canned tuna, mayonnaise, celery, and onion. Serve it on whole-grain bread for added fiber.
  • Greek Yogurt with Nuts and Seeds: A simple yet nutritious lunch option. Top Greek yogurt with a mix of nuts and seeds for extra nutrients and healthy fats.

7.3. Dinner Ideas

  • Grilled Salmon with Roasted Vegetables: Grill a salmon fillet and serve it with a side of roasted vegetables like broccoli, carrots, and bell peppers for a balanced and B12 rich meal.
  • Beef Stir-Fry with Brown Rice: Stir-fry lean beef with a variety of colorful vegetables and serve it over brown rice for a hearty and nutritious dinner.

7.4. Snack Ideas

  • Hard-Boiled Eggs: A convenient and protein-rich snack that provides a good source of B12.
  • Cheese and Crackers: Pair your favorite cheese with whole-grain crackers for a simple and satisfying snack.

7.5 B12 Rich Recipe Table

Recipe Main Ingredients B12 Source Other Nutrients
Scrambled Eggs with Salmon Eggs, Smoked Salmon Eggs, Salmon Protein, Omega-3 Fatty Acids
Tuna Salad Sandwich Tuna, Whole Grain Bread Tuna Protein, Fiber
Grilled Salmon Salmon, Mixed Vegetables Salmon Protein, Vitamins
Beef Stir-Fry Beef, Mixed Vegetables Beef Protein, Vitamins

These recipes are not only delicious but also provide a good source of vitamin B12, ensuring you meet your daily needs. For more recipe ideas and detailed cooking instructions, visit FOODS.EDU.VN.

8. Vitamin B12 and Special Diets: Vegan, Vegetarian, and Gluten-Free

Navigating vitamin B12 intake can be particularly challenging for those following special diets such as vegan, vegetarian, or gluten-free. Understanding how to meet your B12 needs while adhering to these dietary restrictions is essential for maintaining optimal health.

8.1. Meeting B12 Needs on a Vegan Diet

Vegans exclude all animal products, which are the primary sources of B12. To meet their B12 needs, vegans should focus on the following:

  • Fortified Foods: Include fortified plant-based milks, cereals, and nutritional yeast in your diet.
  • B12 Supplements: Regular B12 supplementation is often necessary for vegans to ensure adequate intake.

8.2. Meeting B12 Needs on a Vegetarian Diet

Vegetarians may consume dairy and eggs, which are good sources of B12. However, some vegetarians may still need to supplement if they do not consume enough of these foods.

  • Dairy and Eggs: Include dairy products and eggs in your diet to obtain B12.
  • Fortified Foods: Supplement with fortified foods like cereals and plant-based milks.
  • B12 Supplements: Consider a B12 supplement if your diet is limited.

8.3. Meeting B12 Needs on a Gluten-Free Diet

A gluten-free diet does not inherently restrict B12 intake, but careful planning is necessary to ensure you are getting enough B12 rich foods.

  • Naturally Gluten-Free B12 Sources: Focus on naturally gluten-free B12 sources like meat, fish, dairy, and eggs.
  • Fortified Gluten-Free Foods: Choose gluten-free cereals and plant-based milks that are fortified with B12.
  • Read Labels Carefully: Always check labels to ensure that fortified foods are certified gluten-free.

8.4. B12 Dietary Table

Diet Primary B12 Sources Supplementation Needs Considerations
Vegan Fortified Foods, Supplements High Essential to prevent deficiency
Vegetarian Dairy, Eggs, Fortified Foods Moderate Dependent on intake of dairy and eggs
Gluten-Free Meat, Fish, Dairy, Eggs, Fortified Low to Moderate Ensure fortified foods are certified gluten-free

Adhering to these guidelines will help individuals following special diets meet their B12 needs and maintain optimal health. FOODS.EDU.VN offers customized meal plans and dietary advice to support various dietary lifestyles.

9. Symptoms of Vitamin B12 Deficiency: What to Watch For

Recognizing the symptoms of vitamin B12 deficiency is crucial for early detection and treatment. Being aware of these signs can prompt you to seek medical advice and take corrective measures, preventing long-term health complications.

9.1. Common Symptoms of B12 Deficiency

  • Fatigue and Weakness: Persistent tiredness and a lack of energy are common early symptoms.
  • Pale Skin: Reduced red blood cell production can lead to paleness.
  • Shortness of Breath: Anemia caused by B12 deficiency can result in shortness of breath.
  • Numbness and Tingling: Nerve damage can cause numbness and tingling in the hands and feet.
  • Difficulty Walking: B12 deficiency can affect balance and coordination, leading to difficulty walking.
  • Memory Problems: Cognitive impairment and memory loss are potential neurological symptoms.
  • Mood Changes: Depression, irritability, and other mood changes can occur.
  • Mouth Ulcers and a Sore Tongue: Inflammation of the tongue and mouth ulcers are common.

9.2. Neurological Symptoms of B12 Deficiency

Neurological symptoms can be particularly concerning and may include:

  • Peripheral Neuropathy: Nerve damage causing numbness, tingling, and pain in the extremities.
  • Cognitive Dysfunction: Difficulty with memory, concentration, and problem-solving.
  • Balance Problems: Loss of coordination and balance, increasing the risk of falls.

9.3. When to See a Doctor

If you experience any of these symptoms, it is important to consult with a healthcare provider:

  • Persistent Symptoms: If symptoms persist despite dietary changes.
  • Severe Symptoms: If you experience severe neurological symptoms such as difficulty walking or significant memory loss.
  • Risk Factors: If you have risk factors for B12 deficiency, such as being vegan, elderly, or having gastrointestinal disorders.

9.4. Symptom Checklist Table

Symptom Description Severity Action
Fatigue/Weakness Persistent tiredness and lack of energy Mild to Moderate Monitor diet, consider B12 rich foods
Pale Skin Reduced red blood cell production Mild Monitor diet, consider B12 rich foods
Numbness/Tingling Nerve damage in hands and feet Moderate to Severe See a doctor, test B12 levels
Difficulty Walking Problems with balance and coordination Severe See a doctor immediately
Memory Problems Cognitive impairment and memory loss Moderate to Severe See a doctor, cognitive assessment
Mood Changes Depression, irritability, mood swings Mild to Moderate Monitor diet, consider mental health support
Mouth Ulcers/Sore Tongue Inflammation of the tongue and mouth ulcers Mild Monitor diet, improve oral hygiene

Early detection and treatment of vitamin B12 deficiency can prevent serious health complications. FOODS.EDU.VN provides resources to help you understand and manage your nutritional health effectively.

10. Diagnosing Vitamin B12 Deficiency: Tests and Procedures

Diagnosing vitamin B12 deficiency involves several tests and procedures to accurately assess your B12 levels and identify any underlying causes. Understanding these diagnostic methods can help you prepare for medical evaluations and better understand your health status.

10.1. Common Tests for B12 Deficiency

  • Serum B12 Test: This is the most common test, measuring the amount of B12 in your blood. A low level indicates a potential deficiency.
  • Methylmalonic Acid (MMA) Test: MMA levels increase when B12 is low, making this a sensitive marker for deficiency.
  • Homocysteine Test: Homocysteine levels also rise when B12 is deficient. This test is often used in conjunction with the MMA test.
  • Complete Blood Count (CBC): This test checks for anemia, which can be a sign of B12 deficiency.

10.2. How to Prepare for B12 Deficiency Tests

To ensure accurate test results, follow these guidelines:

  • Fasting: Some tests may require fasting. Follow your doctor’s instructions regarding fasting.
  • Medications: Inform your doctor about any medications you are taking, as some can affect B12 levels.
  • Supplements: Let your doctor know if you are taking B12 supplements. They may ask you to stop taking them temporarily before the test.

10.3. Interpreting Test Results

  • Normal Range: Normal B12 levels typically range from 200 to 900 pg/mL. However, optimal levels may vary depending on the laboratory and individual factors.
  • Low B12 Levels: Levels below 200 pg/mL usually indicate a deficiency.
  • Elevated MMA and Homocysteine: High levels of MMA and homocysteine, along with low B12, confirm a deficiency.

10.4. Diagnostic Test Table

Test Measures Normal Range (Typical) Indication of Deficiency Preparation
Serum B12 Amount of B12 in the blood 200-900 pg/mL Levels below 200 pg/mL Fasting may be required
Methylmalonic Acid (MMA) MMA levels in the blood 0-0.4 umol/L Elevated levels indicate B12 deficiency None typically
Homocysteine Homocysteine levels in the blood 5-15 umol/L Elevated levels indicate B12 deficiency Fasting may be required
Complete Blood Count (CBC) Red blood cell count and other blood parameters Varies Anemia can indicate B12 deficiency None typically

Accurate diagnosis is essential for effective treatment of vitamin B12 deficiency. FOODS.EDU.VN provides comprehensive information on understanding and managing your nutritional health.

Understanding what are B12 rich foods and ensuring adequate intake is critical for maintaining your overall health. With the knowledge and resources available at FOODS.EDU.VN, you can make informed dietary choices and take proactive steps to prevent deficiencies. Explore our website for more in-depth articles, delicious recipes, and personalized advice to support your wellness journey.

For more information, visit foods.edu.vn or contact us at 1946 Campus Dr, Hyde Park, NY 12538, United States. You can also reach us via WhatsApp at +1 845-452-9600.
FAQ

Frequently Asked Questions About B12 Rich Foods

1. What are the best B12 rich foods for vegans?

The best B12 rich foods for vegans include fortified breakfast cereals, fortified plant-based milks (such as soy milk, almond milk, and oat milk), and nutritional yeast. Vegans should also consider taking a B12 supplement to ensure adequate intake.

2. How can I tell if I am deficient in vitamin B12?

Common symptoms of vitamin B12 deficiency include fatigue, weakness, pale skin, shortness of breath, numbness and tingling in the hands and feet, difficulty walking, memory problems, and mood changes. If you experience these symptoms, consult with a healthcare provider.

3. What is the recommended daily intake of vitamin B12?

The recommended daily intake of vitamin B12 for adults is 2.4 micrograms. Pregnant women need 2.6 micrograms, and breastfeeding women need 2.8 micrograms.

4. Can cooking methods affect the B12 content in foods?

Yes, high heat and prolonged cooking times can reduce the B12 content in foods. Steaming or gentle cooking methods are preferable to preserve the vitamin content.

5. Are B12 supplements safe?

B12 supplements are generally safe when taken as directed. However, it is important to consult with a healthcare provider before starting any new supplement, especially if you are taking other medications.

6. How often should I get my B12 levels checked?

The frequency of B12 level checks depends on individual risk factors. If you are at risk of deficiency (e.g., vegans, older adults, individuals with gastrointestinal disorders), regular monitoring is recommended. Consult with your doctor to determine the appropriate frequency for you.

7. Can I get enough B12 from a vegetarian diet?

Vegetarians can obtain B12 from dairy products and eggs. However, some vegetarians may still need to supplement if they do not consume enough of these foods or if they have absorption issues.

8. What is intrinsic factor, and why is it important for B12 absorption?

Intrinsic factor is a protein produced in the stomach that is necessary for B12 absorption in the small intestine. Without intrinsic factor, the body cannot absorb B12, leading to deficiency. Pernicious anemia is an autoimmune condition that affects the production of intrinsic factor.

9. What are the best sources of vitamin B12 for older adults?

Older adults may have difficulty absorbing B12 from food due to reduced stomach acid production. The best sources of B12 for older adults include fortified foods and B12 supplements. Injectable B12 may also be recommended in some cases.

10. Can certain medications affect B12 absorption?

Yes, certain medications, such as proton pump inhibitors (PPIs) and metformin, can interfere with B12 absorption. If you are taking these medications, talk to your doctor about monitoring your B12 levels.

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