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Verhaeverbeke, 1997) One trial of predominantly vegetarian families from India (Deshmukh, 2010) One trial of half vegetarians and half vegans whose responses were mixed together (Del Bo, 2019) One trial of B12 supplementation in vegans who werent previously supplementing (Crane, 1998) The dotted lines represent the trial of only vegans (500 g per day by Crane et al.) and the trial of half vegetarians and half vegans (50 g and 2,000/wk by Del Bo, 2019)

Also read: Choosing the Right Vitamin B12 Supplement: What You Need to Know

Environmental Factors: Pollution: Exposure to environmental pollutants and toxins can damage the skin and contribute to pigmentation problems

due to blind loop syndrome (change in the course of the intestine after gastric surgery)

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However, symptoms are far more likely to be related to underlying conditions that cause B12 elevationsuch as liver disease, kidney dysfunction, or haematological disordersrather than the elevated B12 itself