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You walk between 6 and 8 hours daily, with altitudes ranging from 1,500 to 3,085 meters (4,921 to 10,121 ft)

Find out more about vitamin b12 deficiency in this blog post

You may need B12 injections if you: Have been diagnosed with pernicious anemia Have gastrointestinal issues (e.g., Crohns disease, celiac disease, or after bariatric surgery) Follow a strict vegan or vegetarian diet without adequate supplementation Are over the age of 50, as absorption decreases with age Take certain medications that interfere with B12 absorption Have chronic fatigue, memory issues, or nerve problems due to B12 deficiency

I get a monthly injection of vitamin B 12

There are also inactive forms that are synthetically made (human-made)