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Discontinue use and consult a medical doctor if you experience any unusual symptoms

Akbari M, Vali M, Rezaei S, Bazmi S, Tabrizi R, Lankarani KB

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Translating that signal into real-world practice requires moving beyond the question of whether to combine these therapies toward the more demanding question of how, for which patients, at which stage of the transition, and with which specific formulations

For example, the Vegetarian Nutrition Dietetic Practice Group recommends that vegans consider supplementing with 250 mcg of B12 per day