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Exposed workers demonstrated blood lead levels of 3.2 0.8 g/dL compared to 1.2 0.3 g/dL in control populations

In a study in Germany of omnivores and vegetarians, none of whom were taking vitamin supplements, those consuming omnivorous diets had higher serum B12 concentrations than the lacto or lactoovo vegetarians both of whom avoided meat, poultry, and fish, who in turn had higher levels than the vegans (Herrmann et al., 2003)

A physician may also recommend physical therapy

Lung Res

Because the treatment bypasses the digestive system, it reduces the likelihood of stomach discomfort or other gastrointestinal side effects

Because B12 is an essential part of how your biochemistry works, it's not very common that it is actually B12 causing the side effects or reactions