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This is why it takes years before vegans who dont take B12 supplements start to see symptoms

Activity Spectrum of the Bioactive Forms The following table shows the activity spectrum on both of the bioactive forms of B12: methylcobalabim and adenosylcobalamin

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Unlike growth hormone or anabolic steroids, it does not drive sodium retention or fluid accumulation in clinically meaningful amounts

An unusual presentation of vitamin B12 deficiency associated with massive splenomegaly, hemolytic anemia, and pancytopenia: A case report