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- Healthy Eating: Consider dietary changes that can naturally boost your B12 levels, such as adding eggs, fish, dairy, or fortified cereals to your diet if your circumstances permit

Clinical Manifestations of Vitamin B12 Deficiency Although the classic hematologic expression of vitamin B 12 deficiency is a megaloblastic macrocytic anemia characterized by an elevated mean corpuscular volume and mean corpuscular hemoglobin, and a peripheral smear containing macroovalocytes and hypersegmented neutrophils, up to 28 percent of affected patients may have a normal hemoglobin level, and up to 17 percent may have a normal mean corpuscular volume

Insurance coverage for these therapies is often limited, and operating outside of insurance allows for individualized medical care

You might notice improved mood and mental clarity within the first week

But your energy still feels low, your focus is off, or your workouts feel harder than they should