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B12 is found naturally in animal products such as meat, poultry, fish, eggs, and dairy

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Conversely, if a patient presents with pernicious anemia or severe neurological signssuch as intense tingling in the hands, memory loss, or muscle weaknessthe dosage remains the same (usually 1,000 mcg), but the frequency increases significantly

(Aureli A, et al., International Journal of Molecular Sciences, 2023 PubMed: 38068911 ) B12 and lipid metabolism A review of pre-clinical and clinical evidence found low B12 is associated with adverse lipid profiles including elevated total cholesterol and LDL, particularly in people with type 2 diabetes

Worth noting that this is a practice observation, not a controlled clinical trial