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Breastfeeding moms with a known vitamin B12 deficiency may need to supplement in order to correct their levels

Symptoms of vitamin B12 deficiency include (1): chronic fatigue shortness of breath heart palpitations tingling or numbness in the extremities poor balance loss of concentration poor memory disorientation mood changes incontinence insomnia People most at risk of developing a deficiency include older adults, as well as those who smoke, abuse alcohol, or follow a vegetarian or vegan diet

The SAM preservation aspect adds another dimension

Even a few hours above 8 degrees Celsius accelerates degradation significantly