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Inadequate levels of Vitamin B12 can also contribute to mental health challenges such as depression, cognitive fog, dementia, and memory issues

In some instances, a deficiency in B12 may present symptoms similar to hemolytic anemia, including intramedullary hemolysis and elevated levels of lactate dehydrogenase (LDH), which raises concerns about serious conditions like thrombotic microangiopathy (TMA) [3,4]

1 2 3 Assessment report: Comirnaty (PDF) (European public assessment report)

The ability depends on your microbiomesomething that shifts with age, diet, and health statusmaking supplementation the most reliable way to get it

& McMahon, F