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For someone with documented deficiency, on long-term metformin or a PPI, or with confirmed absorption problems, step up to a higher-potency option like Jarrow Methyl B-12 5,000 mcg under a clinician's guidance

Drink Water: Aim for at least 8 glasses of water a day, more if you are active or in a hot climate, and reduce your intake of caffeine and alcohol, which can dehydrate you

We have only been able to recruit 6 people from our membership base of over 7,000 who manage well on their three-monthly regime