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Vegetarians and infants breastfed by vegan mothers are at greatest risk of developing B12 deficiency

Similarly, in the current study, DIO mice from both groups that were switched from WD to LD exhibited higher Bacteroidetes and significantly lower Firmicutes relative abundances compared to DIO mice maintained on WD (WD controls

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For prevention and treatment of vitamin B12 deficiency, cyanocobalamin in chewable, sublingual, or liquid forms (rather than in a multivitamin) is best under most circumstances

Instead, you may want to investigate an autoimmune diet, such as AutoImmune Paleo (AIP) or an autoimmune protocol diet to boost overall health with an autoimmune disease.[ref][ref] Essentially, the AIP diet removes many foods that are thought to either increase inflammation or cause some kind of immune system response