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Certain plant sources (eg, algae, mushrooms, fermented vegetables, and fermented beans) are potentially viable vitamin B12 sources for vegetarians, but this will require further study before a vegan diet can be considered to supply adequate vitamin B12 amounts (288)
The volume added by the lyophilized powder itself is incredibly small and generally considered negligible for dosing calculations
Dosing should always be individualized based on patient response and symptom severity under medical supervision
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