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Seek emergency care or same-day evaluation if any of the following occur: Sudden or severe difficulty breathing Rapid onset, inability to swallow saliva or liquids Signs of severe infection (high fever, neck swelling with redness and pain) Large, rapidly growing neck mass When symptoms are less acute but persistent or worsening over weeks, schedule a timely evaluation with a clinician who can arrange appropriate imaging or referral to an otolaryngologist (ENT) or gastroenterologist

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B12 is Found Naturally in Animal Products Vitamin B12 is produced almost exclusively by bacteria and is concentrated in animal foods: beef and lamb (highest density), fish and shellfish (especially salmon, trout, clams), dairy, and eggs

Supplements According to the Vitamin B12 is available in supplements in different doses