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No medications that affect b12 absorption

It differs from the purity percentage

Dyspepsia, characterized by upper abdominal discomfort, early satiety, or postprandial fullness, may affect a similar proportion of patients and can contribute to reduced caloric intake and weight loss, though it may also impact quality of life if severe or persistent

As with vegetarians, vegans can avoid this by consuming a dietary supplement or eating B 12 fortified food such as cereal, plant-based milks, and nutritional yeast as a regular part of their diet

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These doses, of course, do not scale to human subjects