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doi:10.1136/bmj.281.6244.831

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But he added: The B12 specific issues are more surprising

Deficiency in this vitamin can lead to loss of neurons, loss of bone density, and birth defects (when in early pregnancy)

Brain fog is a common issue for people following plant-based diets, as B12 is found primarily in animal-based foods

When in doubt, replacing the vial is the safest option.
