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B12 is naturally present in animal based foods such as: Chicken and lean red meat Fish and seafood such as oysters, clams, salmon, tuna and catfish Dairy products such as milk, cheese, yoghurt, plus vegan milk substitutes that are fortified Eggs Plus, fortified breakfast cereals

This loss results in deficits in synaptic function, plasticity, and clinically presents with neural malformations, hypotonia, developmental delays, delayed/absent speech, autistic-like behavior, and dysmorphic facial features [48]

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10.1136/bcr-2020-238315 9 BaeY