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Water retention: Slight puffiness in the hands or feet, most common during the escalation phase and typically self-limiting
It could be that the GP surgery's letter is referring to local area guidelines so try to track these down
Laboratory findings of markedly elevated B12 levels discovered incidentally should prompt GP review, particularly if you are not taking supplements
While many people get enough vitamin B12 naturally from their diets, vegetarians and vegans will often need a supplement because they eat little or no animal protein
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Always consult a knowledgeable practitioner to personalize your protocol
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