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Those following a vegan or strict vegetarian lifestyle are at greater risk of deficiency and may benefit from regular B12 supplementation or injections

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Increasing fiber intake can also be beneficial for the microbiome with possible implications for gastrointestinal and other symptoms

In this situation, ashwagandha has the ability to inhibit and mediate the activity of the NF-B pathway (72)

However, this can also cause tissue damage due to excessive immune damage