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Description
A study of 201 consecutive patients with documented cobalamin deficiency

Plant-Based Vitamin B12 At present, it is only certain that the freshwater algae chlorella contains a guaranteed vegan source of B12, provided that it has been grown naturally (not under sterile farm conditions)

doi: 10.1007/978-94-007-4549-0_28 39 HeinolainenKKaramanSD'AmicoGTammelaTSormunenREklundLet al

Symptoms of B12 deficiency may include: Depression Fatigue Trouble concentrating Confusion Memory problems Headaches Mood changes Vitamin B12 is essential for red blood cell production, so long-term deficiency can lead to anemia, which can cause fatigue, shortness of breath, and an irregular heartbeat
