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The medication may look, smell, and feel normal while delivering significantly reduced efficacy

So I was a little surprised when, when you mentioned kale, and Im thinking, boy, you know, I think of the brassicas, and when I think of brassicas, I think more about goitrogens and iodine issues rather than iron issues or, or the anemia

Some of the characteristic symptoms of this deficiency include: extreme tiredness lack of energy breathlessness feeling faint headaches pale skin noticeable heartbeats (palpitations) loss of appetite and weight loss a decline in your mental abilities (brain fog) irritability depression If youre following a vegan diet and recognise any of the symptoms outlined above (or just wish to prevent them!), a vegan B12 supplement may be required and you have two options available

The NEJM article discusses people who had strong reactions to dose 1 and what they did to counter them