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This has been referred to as a paradoxical vitamin B12 deficiency, because the B12 is functionally unavailable

Retrieved December 31, 2013

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[1] [3] Hypersensitivity to cobalt or any cobalamin is a contraindication to B12 injections

The relative abundance of Erysipelatoclostridium was increased in vehicle-treated mice that underwent the WD to LD switch (WD/LD-V) relative to the two control groups (LD/LD-V and WD/WD-V) but was not increased in 5A-1MQ-treated mice that underwent the same diet switch (WD/LD-T)