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One of the perimenopause symptoms we want to highlight is mood changes, specifically perimenopause anxiety

Plus, because B12 vitamin is bound to amino acids (found in protein foods) and is only released when certain enzymes and stomach acids are present, its possible to consume enough but still remain somewhat deficient

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Signs And Symptoms Of Vitamin B12 Deficiency For your body to effectively absorb vitamin B12, your body requires a healthy gut with sufficient stomach acid, a well-functioning pancreas, and high levels of intrinsic factor