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You know, that's the other thing that you hear

The only variable is whether he let a stranger prescribe him blind, or insisted on being seen

its about safeguarding your health and the welfare of others

It might be something as simple as not eating enough foods high in B12, with the solution being changing your diet (which you can use this guide for!)

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Another possibility is that obesity could lower serum vitamin B12 levels through decreased dietary intake or absorption, increased catabolism, and sequestration in adipose tissue, or changes in the gut microbiota profiles which could affect the metabolism of vitamin B12