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You can access Vitamin B12 in animal foods, which contain it naturally or from items that have been fortified with it

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97 European Food Safety Authority (EFSA) (2015) Scientific opinion on dietary reference values for cobalamin (vitamin B12)

There is an optimal dosing range below which effects are minimal and above which effects actually diminish
Patients should be instructed to report any of the following: nausea, vomiting, changes in skin color, ankle swelling, too frequent or persistent erections of the penis
