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However, most of these peer-reviewed studies repeatedly stress that promising preclinical findings do not establish safety or efficacy in humans

therefore, parenteral supplementation is necessary [73]

It is important not to self-administer this methylcobalamin injection at home

Fermented foods (such as tempeh), nori, spirulina, chlorella algae, and unfortified nutritional yeast cannot be relied upon as adequate or practical sources of B-12.39,40 Vegans must regularly consume reliable sourcesmeaning B-12 fortified foods or B-12 containing supplementsor they could become deficient, as shown in case studies of vegan infants, children, and adults