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If your body does not have sufficient B12, then it cannot make energy and so therefore you are weak, tired, or unfocused

B12 deficiency can result from dietary factors such as a lack of animal products or from conditions affecting absorption like pernicious anaemia or gastrointestinal surgery

These can cause reactions too

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The Green lagoon is a high Andean saltwater lagoon in Bolivia, located in the Eduardo Abaroa Andean Fauna National Reserve in the highlands in the department of Potos, near the border with Chile

B12 injections can help repair and protect nerve function, reducing the risk of neurological problems