The condition manifests as recurrent sprains, persistent feelings of giving way, and reduced confidence in ankle stability during activity
So can outside events: a well that has flooded, a nearby septic system acting up, or recurring stomach illness among the people and pets drinking the water
B12 is very important for brain and spinal development
Although this concerns iron, I include it because the answer and the current position is relevant also to B12 deficiency
Clinical Update 8/15/2023 Coffee & Bone Health Does drinking coffee decrease bone density or worsen symptoms of arthritis
The authors also point out that in some rare genetic disorders of B12 metabolism, the active forms may be required, and that smokers, who tend to have an excess of thiocyanate in their blood, may benefit from a taking a form other than cyano-B12