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GP texted daughter to say script for B12 supplements at pharmacy from specialist, with no discussion or advice but the meds were for 50 mcg, nowhere near enough to bring her levels up which have dropped to 189

The amount of cyanide released from B12 supplementation is minuscule compared to dietary exposure from foods like almonds, cassava, and cruciferous vegetables

Although plant foods have many benefits as part of the diet, they do not naturally contain vitamin B12

If GI symptoms are severe or persistent beyond three weeks at any given dose, consult your healthcare provider rather than pushing to the next escalation level