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Gologan, B

All vegans should take a B12 supplement to ensure adequate B12 intake

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Cyanocobalamin is indicated for vitamin B 12 deficiencies due to malabsorption which may be associated with the following conditions: It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue

Moreover, this trial was conducted at a private practice and published in an alternative medicine journal, again raising concerns about bias

Laboratory factors such as macro-B12 (immunoglobulin-bound B12) can cause spurious elevation on some assays
