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You can find B12 naturally in foods like meat, fish or dairy products

Common causes include: Chemotherapy and radiation therapy Prescription medications (including antibiotics, antihypertensives, antidepressants, and anticonvulsants, and more) Vitamin or mineral deficiencies (especially zinc, copper, and vitamin B12) Poor oral hygiene or untreated dental issues Upper respiratory or sinus infections Neurological disorders such as Parkinsons or Alzheimers disease Systemic conditions (such as diabetes, kidney disease, or liver disease) Among these, cancer treatment stands out as a major contributing factor

As with other types of vaccinations, alcohol can make vaccine side effects worse