Also vegans, vegetarians, the elderly, pregnant and lactating women even when B12 fortified foods are consumed (Temova Rakua et al., 2022)
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What an unexplained high B12 can point to If you take no supplements, have had no injections, eat no heavily fortified products and your B12 is repeatedly high, the pattern is worth investigating
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I'm excited about their potential for both the treatment of disease, as well as for augmentation of mental and physical health