(24) As you can see, anyone following a strict vegan diet may struggle to obtain adequate levels of vitamin B12 in their daily diet
[57] Several serious, even life-threatening diseases cause elevated serum haptocorrin, measured as abnormally high serum vitamin B 12 , while at the same time potentially manifesting as a symptomatic vitamin deficiency because of insufficient vitamin bound to transcobalamin II which transfers the vitamin to cells
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Nitrous oxide exposure can inactivate vitamin B12