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Common lifestyle factors contributing to deficiency include: High levels of stress or anxiety Strenuous exercise routines without adequate nutrition Frequent travel or irregular meal patterns If youre encountering fatigue, brain fog, or prolonged physical or mental exhaustion, it may be time to check your B12 levels

1997;156(2 Pt 1):341-357

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Available from: Sedatives and/or anesthetics may be used If necessary, a relaxation medication may be given through an intravenous (IV) line in the patients arm, but the patient is usually conscious during this procedure