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500mcg/day)
So if you took B12 and felt worse, and your blood B12 is elevated, and you have a constellation of symptoms across multiple systems that's three signals pointing toward MCAS as worth ruling out
In severe cases, it can affect mental health, resulting in depression or even cognitive decline
Fat-soluble vitamins, such as A, D, E and K, may also lose their strength over time, but they are less prone to degradation
If you are taking high-dose supplements, your GP might recommend reducing to a maintenance dose once deficiency is corrected
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