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According to the American College of Lifestyle Medicine (ACLM), there are six pillars of lifestyle, including a whole-food, plant-predominant eating pattern, physical activity (PA), stress management, positive social relationships, restorative sleep, and the avoidance of risky substances (59, 60) (Figure 3)

In typical dietary doses, B12 is absorbed at a rate of about 40-50%

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Therefore supplementation is needed

If you do continue a daily multivitamin, separate it from any interactions, for instance, dont take other vitamins at the exact same time as certain medications like tetracycline antibiotics (all B vitamins can bind with tetracycline in the gut and reduce its absorption)