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Patients following such a diet, should be advised to take oral vitamin B12 regularly

Early warning signs of Vitamin B12 deficiency often include persistent fatigue and weakness, brain fog, memory and concentration issues, a smooth or sore tongue (glossitis), pale or yellowish skin, and tingling sensations in hands or feet

Because of this, individuals supplementing this form of B12 often report improved quality of sleep, often will require slightly less sleep, and will not uncommonly report that they feel a bit more refreshed when waking in the morning

Frequency depends on individual needs and is discussed during consultation, typically ranging from weekly to monthly