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And this can lead to vitamin B12 deficiency anemia

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For instance, doctors may treat a B12 deficiency with several shots in the first month, followed by monthly or quarterly injections for maintenance

Many vegans dont think [they] need to worry about B12, or they think that meat-eaters get B12 deficiency just as often as vegans do, while others think you have to supplement with methylcobalamin rather than the less expensive, more reliable cyanocobalamin. Mangels notes, Some people think they have enough vitamin B12 stored and they dont need to worry about [it]

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Together, these reflect first a sudden decrease of colonic blood supply[1] and inadequate eNOS system function[2]