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They are not aware of the need to ensure they have adequate levels of B12 and so far, the evidence suggests that people who are vegan are less likely to be overweight, and at less risk of type 2 diabetes and heart disease

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Injectable B12, which is often recommended in severe deficiency cases, may cause more adverse effects, including diarrhea, itching, skin rash, headache, dizziness, nausea, or vomiting

There are practical reasons too: B can be unstable if mixed with certain other vitamins in solution, and dosing schedules for B deficiency (pernicious anemia, for instance) may differ

P.AllenR

Am J Physiol Endocrinol Metab