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Finally, one very recent study in the USA has demonstrated that in some individuals with neurological symptoms, the presence in the blood of antibodies against this receptor may interfere with the proper uptake of B12 into the brain

The problem is that production drops dramatically with age

Most vegans and vegetarians can maintain adequate B12 levels through consistent oral or sublingual supplementation and B12-fortified foods such as plant milks, nutritional yeast, and fortified cereals

I am very happy with this product Everything about the experience has been good but I really dont need the needles as I self inject subcutaneously with my own needles