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You are a Vegetarian or Vegan Since the primary dietary sources of B12 come from animal products, strict vegetarians and vegans are at very high risk of developing a B12 deficiency

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B12 is bound to protein in meats and animal products (5)

Male residents in affected areas demonstrated a 28% reduction in sperm concentration, suggesting direct correlation between environmental dioxin exposure and reproductive function ( 2.2.2.2 Air quality impacts Proximity studies show that residents living within several kilometers of major industrial facilities experience elevated PAH exposure levels compared to background populations

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Some of us have a low tolerance for pain