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That process involves its own notice-and-comment period and can take additional months

People who follow a strict vegetarian or vegan diet

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High levels of homocysteine are linked with a higher risk of heart disease

Nutritional imbalances, including low B12 levels, are becoming increasingly common due to: Highly processed diets Use of acid-reducing medications Digestive disorders (like IBS or celiac disease) Vegetarian or vegan diets without proper supplementation In suburban communities like Troy, MI, where fast-paced lifestyles often limit dietary variety, its easy to overlook vitamin levels until symptoms appear

I tried everything my doctor suggested: custom orthotics that cost me $450, night splints that made sleeping impossible, cortisone shots that worked for maybe three weeks before the pain came roaring back