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Individuals with Chronic Conditions: Certain chronic conditions, such as diabetes, autoimmune disorders, and kidney disease, may increase the risk of B vitamin deficiencies

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Supplements must be paired with aggressive pacing strategies to avoid post-exertional malaise (PEM), nervous system regulation techniques, and ongoing medical care from practitioners who truly understand the nuances of complex chronic illness

Injections are often recommended for those with absorption challenges or severe deficiencies, ensuring a more reliable and direct delivery of B12 for improved energy, mood, and overall health