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Whether and how any of this translates into a meaningful outcome for a specific individual is exactly the kind of question that belongs in a clinical evaluation, not a generalized article

And fermented foods, such as tempeh, arent fermented through B12-producing bacteria, thus they arent a source of B12

Thus, dietary supplement B 12 supplementation at 500 to 1000 g per day allows pernicious anemia and certain other defects in B 12 absorption to be treated with daily oral megadoses of B 12 without any correction of the underlying absorption defects

Skin is thin there and it is less resilient to damage from swelling (allergies, puffiness) 2