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If dizziness occurs regularly after B12 supplementation, its a good idea to consult a doctor

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Stores sit mainly in the liver and last years, so deficiency develops slowly and quietly, which is precisely why it gets missed

Amazon should be commended for efforts over the last several years to drastically improve dietary supplement compliance policies now requiring validation of GMP audits, label claim and contaminant testing, and screening for active pharmaceutical ingredients in high risk dietary supplement categories like sports nutrition, weight loss, and sexual enhancement

You dont necessarily have to get labs as a baseline if you are symptomatic (symptoms listed above)