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However, if you have difficulty swallowing capsules, consult with your healthcare provider for advice

5.1.2 Impact on neurotransmitters and synaptic plasticity Chronic ketamine use disrupts the balance between excitatory and inhibitory neurotransmission

Many people have problems with too much or too little inflammation in their body, which can lead to a variety of issues

You may also want to cut back on any foods that make side effects like nausea and acid reflux worse, like foods high in fat.

They are not intended for human or veterinary use

Groups at increased risk of B12 deficiency include: Vegans and strict vegetarians , who avoid all animal products and are at significant risk without supplementation or fortified foods Older adults , in whom reduced stomach acid production impairs B12 absorption People with pernicious anaemia , an autoimmune condition that destroys intrinsic factor-producing cells Those who have undergone gastric surgery , including bariatric procedures, which can reduce intrinsic factor availability Individuals taking long-term metformin for type 2 diabetes, as this medication is associated with reduced B12 absorption the MHRA has issued specific safety advice on monitoring B12 levels in this group [6] [7] People with conditions affecting the small intestine , such as Crohn's disease or coeliac disease Symptoms of B12 deficiency can include fatigue, weakness, pins and needles, memory difficulties, and a sore or inflamed tongue (glossitis)