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Even with a high intake of vegan-friendly vitamin B12, it is still possible to have low or deficient levels of vitamin B12

Using thiamine as the antiepileptic component, the results revealed that seizures causing neurological and cognitive impairment have been alleviated

35 Vitamin B 12 has also been reported to be present in lower levels in nonanimal foods, including edible algae, some mushrooms, and fermented foods such as tempeh, kimchi, miso, and tea

Ide et al reported that high-dose intrathecal methylcobalamin injection can relieve symptoms of paresthesia, burning pain, and heaviness in patients with diabetic neuropathy 23

Six years after discontinuation, the level became low again, and she is now receiving regular intramuscular injections