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Even in high-dose supplements, the maximum acceptable level of prussic acid set by EFSA is not reached

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If you dont get enough B12 in your diet or through supplementation, you may develop one or more of the following symptoms [4]: - Mild fatigue during exercise or daily activities - Heart palpitations - Skin paleness or hyperpigmentation - Glossitis (tongue inflammation) - Neurological symptoms such as loss of reflexes, loss of proprioception (knowing where your limbs are without looking at them), forgetfulness Signs that healthcare providers use to detect a B12 deficiency include [4]: - Megaloblastic anemia (abnormally large and nucleated red blood cells) - Abnormal blood work, including decreased levels of haptoglobin

A study found, Parenteral vitamin B12 is more effective than oral supplementation in patients with severe deficiency or malabsorption. In summary, B12 injections are essential for treating many health conditions and absorption problems