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I wouldnt count on sources like seaweed, spirulina, or soil. I hear people that likely do need to supplement with B12 say that theyre OK because they eat foods that may include B12, but they can be unreliable sources, such as sea vegetables or nutritional yeast, says Ginger Hultin, MS, RDN, CSO, a lifelong vegetarian, chair of the VNDPG, and spokesperson for the Academy

They are often paired in recovery research, but they are chemically and mechanistically different

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Since tablets wont work in PA, the anemia will only get worse, and the patient may end up blaming the symptoms on the B12 itself, rather than on the accelerating, untreated anemia

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