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Furthermore, the fatty acids themselves may cause a "soapy" off-flavour.

Two other surrogate markers of B12 deficiency are elevated homocysteine and MCV, although several other nutrient deficiencies can cause these levels to be elevated, so be sure to work with your provider when interpreting any lab test results

Brain 134 (Pt 7): 19141924

According to The New York Times in 2011, as many as 30 percent of older adults may lack sufficient B12

Type 2 diabetes and glycemic control: Research explores its effects on fasting glucose, HbA1c, and postprandial glycemia via slowed gastric emptying, reduced food intake, and possible direct pancreatic/islet effects

[DOI] [PubMed] [Google Scholar] 24.Grana C., Ghosn L., Evrenoglou T., Jarde A., Minozzi S., Bergman H., Buckley B.S., Probyn K., Villanueva G., Henschke N., et al