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Nayana Shetty, MBBS, MD When to See a Doctor Although rare, some people may experience side effects of high vitamin B12 levels such as headaches or skin reactions

Low levels of zinc are associated with: Decreased levels of the thyroid hormones triiodothyronine (T3) and thyroxine (T4), as well as thyroid-stimulating hormone (TSH)

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So, if you are eating a varied diet and do not have a laboratory-documented vitamin B12 deficiency, you do not need additional supplementation. However, she explains people who subscribe to strict vegan or vegetarian diets are much more likely to be at risk of vitamin B12 deficiency, and they should take supplemental B12, especially when pregnant or trying to become pregnant

doi.org/10.3389/fphar.2021.627533 Hsieh, M

Pregnant patients should discuss B12 supplementation needs directly with their OB provider
