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Psychological Interventions for Depression in Adolescent and Adult Congenital Heart Disease. Cochrane Database of Systematic Reviews 2003, no

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While a balanced diet is an essential component of healthy living, you may need occasional vitamin injections to promote overall health and wellness

Therefore, supplementation is needed

It can take many years (approx 20) to develop a deficiency disease in those altering their diet to one lacking in B12 due to reabsorbtion however, if failure to absorb leads to B12 deficiency disease occur within a few years (3-4)

Its important to recognise that B12 is just one component when it comes to how we feel