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Food and Drug Administration) Dietary deficiency of vitamin B 12 occurring in strict vegetarians and in their breastfed infants (isolated vitamin B 12 deficiency is very rare) Malabsorption of vitamin B 12 resulting from damage to the stomach, where intrinsic factor is secreted, or damage to the ileum, where intrinsic factor facilitates vitamin B 12 absorption

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Other situations requiring prompt communication with your provider include persistent nausea or vomiting lasting more than 24-48 hours, signs of dehydration (decreased urination, dizziness, dry mouth), visual changes, symptoms of hypoglycemia (shakiness, confusion, rapid heartbeat), or unexplained neck mass or hoarseness

If you arrived searching for "VitalBP" or a different "Vital" supplement, confirm the brand URL and Supplement Facts panel match before purchasing