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Many vegans dont think [they] need to worry about B12, or they think that meat-eaters get B12 deficiency just as often as vegans do, while others think you have to supplement with methylcobalamin rather than the less expensive, more reliable cyanocobalamin. Mangels notes, Some people think they have enough vitamin B12 stored and they dont need to worry about [it]

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For example, a vegan woman who hadnt been taking B12 developed a deficiency and had to be treated with such high doses of the vitamin that her face erupted in acne, as you can see at 4:49 in my video

It is frequently beneficial to treat underlying issues, such as antibiotics for bacterial overgrowth, and to stop using the offending medications [50]

Ethics declarations Conflict of interest The authors declare that they have no conflict of interest

Autonomic nerves, which control both voluntary and involuntary bodily functions such as blood pressure, may also be affected