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The following groups of people are at a greater risk of developing a vitamin B12 deficiency: Vegans or vegetarians People 75+ years Having a digestive system disorder like Crohns or celiac disease Drinking excessive amounts of alcohol Having Sjgrens syndrome Taking certain medications like oral birth control or metformin Common symptoms of a vitamin deficiency include fatigue, numbness, poor balance, memory loss, and breathlessness

Cobalamin should be supplemented whenever serum cobalamin concentration is in the low normal range (i.e., less than approximately 400 ng/L) in both dogs and cats

Research also suggests that AHK-Cu may extend the hair growth cycle (anagen phase), allowing for longer, fuller hair over time

On/off cycling here is driven by caution, not by tolerance data: because there is no long-term human safety record, building in scheduled off periods is the conservative research default