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Following a strict vegetarian or vegan diet without ingesting any animal products, having a poor diet while pregnant, or being fed a poor diet as an infant can all lead to vitamin B12 deficiency

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Brand Varies For use in Vitamin B12 5000 deficiency associated with cobalt deficiency in cattle and sheep and for Vitamin B-12 deficiency associated with inadequate Vitamin B-12 intake or intestinal malabsorption in swine and horses

Since the body cannot synthesize Vit B9, it must be supplemented exogenously and gastrointestinal dysfunction, a prominent dysautonomic feature of MSA, may explain such deficiency
