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Many people are initially asymptomatic

Vitamin B12 helps your body convert food into usable energy

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doi: 10.3390/nu12113254

When You Might Need Higher B12 Doses While the standard RNI of 1.5 mcg per day suffices for most healthy adults, certain medical conditions, dietary patterns, and medications can substantially increase B12 requirements or impair absorption, necessitating higher therapeutic doses under medical supervision