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Vitamin B12 deficiency may occur in between 40% to 80% of the vegetarian population who are not also consuming a vitamin B12 supplement.In Hong Kong and India, vitamin B12 deficiency has been found in roughly 80% of the vegan population as well

That is why blood testing may be appropriate in people with risk factors even when symptoms are mild

They deliver a high dose of B12 directly into the muscle (intramuscularly) or under the skin (subcutaneously)

Inflammation and cytokine modulation pathways

Fortunately there are so many kind, caring and clever people on this forum to keep us going

Other things like physical therapy, good sleep, better nutrition, and time can also explain why people feel better