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Even if you're eating plenty of meat and dairy, your body might not be getting what it needs

I have a feeling that it is triggering some kind of auto immune response

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If severe B12 deficiency with neurological involvement is suspected, treatment should be initiated promptly without waiting for test results, and specialist advice may be needed

After treatment, its usually recommended to stay hydrated and follow any specific advice from your healthcare provider regarding your nutritional intake to enhance the absorption of vitamin B12