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They concluded that "caution should be taken when considering vitamin B12 supplementation in the absence of a vitamin B12 deficiency." Researchers found that combined supplementation of folic acid, vitamin B6, and vitamin B12 was associated with poor renal function and an increase in vascular events in patients with diabetic nephropathy

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Serum Vitamin B12 in Chronic Telogen Effluvium Patients. Wikipedia

If you follow a plant-based diet, you'll likely need fortified foods or supplements to maintain healthy levels