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This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation

Age differences in the prevalence and co-morbidity of DSM-IV major depressive episodes: results from the Who World Mental Health Survey Initiative

Stop using the product and consult a dermatologist immediately if any rash or irritation occurs