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In addition, products from such vendors may contain impurities or harmful chemicals, increasing the risk of adverse effects

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While there is no problem with taking these, and as medical professionals we do actually recommend supplements in certain cases, this might not be the most advantageous method for getting more B12 into your system

Testing is warranted when one or more of the following apply: Significant appetite loss lasting more than 3 months on stimulant therapy Concurrent metformin use Vegetarian or vegan diet Age over 50 (gastric acid and intrinsic factor production decline) History of gastric surgery, celiac disease, or Crohn disease affecting the terminal ileum New-onset fatigue, paresthesias, or cognitive complaints that do not match ADHD symptom patterns Which Labs to Order Serum B12 alone has limited sensitivity