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UK treatment for severe deficiency involves hydroxocobalamin 1mg intramuscular injections, with regimens varying based on neurological involvement

[91] Since only bacteria and some archea possess the genes and enzymes necessary to synthesize vitamin B 12 , plant and algae sources all obtain the vitamin secondarily from symbiosis with various species of bacteria, [5] or in the case of fermented plant foods, from bacterial fermentation

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A deficiency in B12 can lead to a range of physical and neurological symptoms and may affect your overall wellbeing

B12 and Pregnancy FAQ Can you get B12 injections while pregnant