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Good Sources of Vitamin B12: Shellfish (oysters, clams, crab) Fish (trout, salmon, haddock, tuna) Beef (including beef liver) Dairy (milk, yogurt, cheese) Eggs Fortified cereals Fortified plant milks Nutritional yeast Considering most foods that have high amounts of vitamin B12 are animal-based, those who follow a vegetarian or vegan diet may be particularly vulnerable to a B12 deficiency

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Decreased effectiveness may indicate worsening disease or tolerance development

Herniated or bulging discs - Most common cause Spinal stenosis - Narrowing of the spinal canal Bone spurs - Bony growths that compress nerves Poor posture - Especially from prolonged sitting Improper lifting - Straining the back muscles and spine Age-related changes - Most common between ages 30-50 The pain from a trapped nerve doesn't just stay in your back

To determine selenium and/or copper status, give us a call or consult your vet

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