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A similar conclusion was reached by another study published in JAMA Internal Medicine

Both of these problems mean that cobalamin deficiency is mainly caused by its insufficient intake (a common complication of a vegetarian or vegan diet) or intestinal absorption disorders of vitamin B12, which occur in the course of diseases of various origins (Table 1) [41]

Deficiency can lead to anemia, nervous system damage, and fatigue, making it essential for those on a vegan or vegetarian diet to find reliable B12 sources

Growth and proliferation of human osteoblasts on different bone graft substitutes: an in vitro study

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