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You should go to the ER if you have symptoms of certain conditions that can be especially dangerous, such as: You should also go to the ER if you have autonomic symptoms of peripheral neuropathy, such as: Peripheral neuropathy may be reversible in some cases, but many factors influence whether or not this is possible

Spirulina is not a good source of B12 and only contains B12 analogues Because vitamin B12 is water-soluble it's extremely hard to overdose, and because the body is quite inefficient at absorbing B12, supplements often contain 10,000% RDA, sometimes even 100,000% RDA, to try and ensure the body actually absorbs some of it

Individual responses vary substantially, and more research is needed to identify reliable predictors of response

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