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It is common for those who follow vegetarian or vegan diets to be vitamin B12 deficient the majority of the population relies on the consumption of meat in order to maintain a healthy level of vitamin B12

Instead, they recommended methylcobalamin, a form of B12 where a methyl group replaces the cyano group

It is not necessary to withhold vitamin B12 therapy until the precise cause of B12 deficiency is established since absorption studies can be performed at any time

These include eggs, dairy products, fish, shellfish, and fortified cereals

Peripheral neuropathy may take 36 months to improve, and some patients experience incomplete recovery, particularly if treatment was delayed

Unlike oral supplements, which must go through the digestive system and may be poorly absorbed, B12 injections bypass the gastrointestinal tract entirely