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If your cardiovascular markers haven't budged despite months of supplementing, the dose, the quality, and what's actually inside the capsule are almost certainly the problem

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A B12 deficiency is typically caused by malabsorption, poor dietary intake and pernicious anemia

Persistent fatigue, brain fog, low mood, weight gain, tingling in the hands or feet, frequent illness, post-COVID fatigue, or feeling generally "off" despite eating well and sleeping enough, especially if you're vegetarian, vegan, over 50, on metformin or a long-term acid reflux medication, or have a history of low B12 or pernicious anemia

When following this type of technique, it should not stretch the skin