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There are two sides to that equation: energy intake and energy expenditure

doi: 10.1638/2021-0012

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For individuals with digestive sensitivities, those taking acid-reflux medications, or anyone on a plant-based (vegan/vegetarian) diet, absorbing enough B12 through food or pills is virtually impossible

In one 2014 case study, a 64-year-old woman was on the hCG diet when blood clots developed in her leg and lungs
