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Long-term vegans are a special case, because B12 is one nutrient a plant diet cannot reliably supply

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The AOD9604 dosage calculator approach considers research objectives, subject characteristics, and protocol duration

If you don't plan on getting pregnant, your B12 levels should remain relatively stable throughout adulthood assuming you continue to consume a well-balanced diet

Petrov et al., 2017

A systematic PubMed search for (autoimmune psychosis OR autoimmune psychiatric syndrome) AND (magnetic resonance spectroscopy OR MR spectroscopy OR MRS OR magnetic resonance spectroscopic imaging OR MRSI OR chemical shift imaging OR CSI), performed on March 15, 2025, yielded 256 hits, none of which included casecontrol studies