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Long-term deficiency can lead to permanent nerve damage, repeated fractures, weakened immunity, balance problems, and increased risk of falls and cognitive decline

Strict vegetarians and vegans can run low on fortified foods or supplements

If a large hematoma (bruising) forms, apply cold compresses

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High-dose oral vitamin B12 supplements (1000-2000 micrograms per day) have also been shown to raise levels, because high doses can usually compensate for the bodys poor absorption