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doi: 10.1016/j.emc.2025.08.011 [PubMed]

He reports that most vegans show adequate B12 levels to make clinical deficiency unlikely, but they may show restricted activity of B12-related enzymes, leading to elevated homocysteine levels, which has been linked to increased risk of heart disease and stroke

[81] Previous reports have suggested that the RIDA method can detect higher concentrations of vitamin B 12 in foods compared to the microbiological assay method

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I will look for dietary sources of potassium and take a magnesium supplement