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The causes of this deficiency include poor dietary intake, malabsorption, and pernicious anemia
Muscle spasms accompanying back pain also tend to ease as the underlying tissue heals and inflammation decreases
While symptoms may look different over time, the root causes (like gut imbalance, immune stress, and barrier dysfunction) are surprisingly similar
They can be obtained from dietary sources like fatty fish, flaxseeds, and walnuts, but supplementation may be considered to achieve desired levels
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