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Am very pleased I used this and cut out sweets already (some ice cream)

Deficiency concerns: Alcoholism intestinal and bariatric surgeries digestive disorders lack of intrinsic factor vegetarians Vegans who do not consume any animal products When you don't have enough folate and vitamin B12, deficiency can result in anemia, fatigue, irregular heartbeat, shortness of breath, hair loss, and pale skin with mouth sores

You get it naturally from animal-based foods meat, dairy, eggs