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In normal physiology it participates in hepatic fat processing and methylation reactions, and it contributes to the livers handling of triglycerides and cholesterol

Some breakfast cereals, plant-based meats and nutritional yeast have added B12 and are good choices if you dont eat meat

Initial investigations typically include a full blood count (including MCV), serum B12 and folate levels

People with the following should discuss risks carefully with a medical professional: Liver disease Kidney disease Pernicious anemia Known allergies to any ingredient in the formulation Pregnancy or breastfeeding (safety not well-studied avoid unless prescribed) Because ingredients differ between providers, always verify the formulation and follow prescribed dosing to minimize risk

however, individual outcomes may vary

Lifestyle Choices You are also significantly more likely to suffer from B12 deficiency if you practice a vegan diet and lifestyle