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If you are vegan, don't eat enough B12-rich foods, or have other health issues that prevent you from absorbing it effectively, such as pernicious anaemia, you may have a deficiency

doi:10.1016/j.jtcme.2019.02.005

Im slightly neurodivergent (sensory processing disorder, or SPD), and struggle with specific food textures

This is why most experts recommend viewing these as long-term therapies rather than short-term interventions