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A 2024 study found deficiency prevalence ranges from 5% to 52% in vegans, with the wide gap reflecting differences in supplement use

Chloramphenicol is known to cause bone marrow suppression, especially when serum concentrations exceed 25 mcg/ml

Vegetarian dietary patterns increase risk of Vitamin B12 deficiency because plant foods do not naturally contain sufficient B12

This polypharmacy approach allows clinics to break patient plateaus without having to push GLP-1 doses into ranges that cause severe gastrointestinal distress

B12 deficiency itself commonly causes fatigue and disrupted sleep patterns, which improve with appropriate treatment

Only patients with true B deficiency will experience improved energy