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It does not naturally occur in plant-based foods so vegetarians can find it in some breakfast cereals or use B12 oral supplements or B12 injections

High-fat meals slow it further, increasing the time food sits in the stomach and amplifying nausea, bloating, and reflux

these are maturation disorders of the red blood cells)

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In vitamin B 12 deficiency, the mutase reaction is impaired, causing accumulation of D-methylmalonyl-CoA, which is converted to methylmalonic acid

Areflexia can be permanent if neuronal death occurs in the posterior and lateral spinal cord tracts