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Plant-based food sources include yeast extract and B12-fortified products such as nutritional yeast flakes, plant milks, vegan yoghurts and desserts, breakfast cereals and margarine (make sure they are fortified if you are relying on them as a source of B12)
I get a lot of pushback on that from physicians saying, Why would you want to burden a patient with that knowledge? I welcome that debate because it opens a discussion: Do you or do you not believe that this a deterministic gene
Nitrous oxide exposure (during surgery or recreational use) can inactivate B12 and cause rapid neurological deterioration in vulnerable individuals
Further research, including controlled studies with proper single-compound comparison groups, is needed to validate any combined effect
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