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Suggest you follow up with mid-wife and see if they can advise

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Yellowing of the skin If you notice that your skin is starting to look yellow, it could be a sign of a vitamin B12 deficiency

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Taking Vitamin B12 With or Without Food Bibliography Are Multivitamins an Adequate Source of B12 for Vegans

For patients who experience a paradoxical decrease in energy levels, it doesnt mean you should stop taking the B12 but instead decrease your dose by half (so take 2,500mcg every 7 days) or simply take 5,000mcg every 14 days instead