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Thomas KJ, Jacobson MR

Common lifestyle factors contributing to deficiency include: High levels of stress or anxiety Strenuous exercise routines without adequate nutrition Frequent travel or irregular meal patterns If youre encountering fatigue, brain fog, or prolonged physical or mental exhaustion, it may be time to check your B12 levels

Sonies BC, Almajid P, Kleta R, Bernardini I, Gahl WA (2005) Swallowing dysfunction in 101 patients with nephropathic cystinosis: benefit of long-term cysteamine therapy

Toxic Certain molds produce toxic chemicals that become airborne and are inhaled