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Without enough of it, a person may feel tired, weak, and just not all there mentally

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Research from Tufts University finds that by age 75 or 80, around 40 percent of people have a diminished ability to absorb B12 from food

If needed for a clear medical indication (such as treating pellagra in a pregnant patient), niacinamide can be used with caution, but unnecessary high-dose B supplementation is avoided in pregnancy