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Vegans or vegetarians sometimes have lower B12 levels because plant based foods lack substantial amounts of this nutrient

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Playing off the rich, fatty texture, acidic foods such as tomato, pickled onions, citrus juice or zest, vinegar and vinegar-based condiments such as hot sauce and mustard complement tinned fish

Energy often improves within weeks, but nerve-related symptoms can take longer to resolve

Compliance matters for outcomes, and simpler protocols generally produce better adherence