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Vitamin B12 deficiencies are characterized by: Muscle weakness or fatigue Digestive problems Nervous system disorders Heart damage Most people get enough vitamin B12 just by eating a diet that includes animal products

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In these cases, empirical reproductive medicine (eg, drugs that may not have established records of effectiveness) or assisted reproductive techniques may be offered

However, the pills must be taken on an empty stomach in order to be properly absorbed, which can be a challenge for some people

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Available through most functional medicine labs (GI-MAP, Genova GI Effects, or standalone calprotectin through LabCorp/Quest)