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as levels normalise, improved daytime energy may temporarily affect sleep-wake cycles Individual sensitivity : A small subset of people may be more sensitive to changes in B vitamin levels Formulation factors : Some B12 supplements contain additional ingredients that could affect sleep—always check product labels for stimulants like caffeine For the vast majority of people, vitamin B12 supplementation does not cause sleep disturbances when taken as directed

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Purchase compliance is thought to be low (11) as fewer doses are sold compared to veterinarian recommendations (5, 6, 18), “many [pet] owners’ resort to seeking cheaper alternatives” (financial theme 4), and some pet owners are unable to afford treatment