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Critically, longer-term use was not associated with any increased risk of cardiovascular events or death

A lack of this important vitamin may begin manifesting itself within a few months of a major diet change, such as becoming a vegetarian or vegan

However, this clinical history does not extend any licensed status to the 10mg lyophilised research format, which is supplied strictly for laboratory investigation only

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Treating pernicious anemia (vitamin B12 shots or high oral doses of vitamin B12 are usually used in this case)

So its recommended for vegans to supplement daily with vitamin B12 to ensure they are meeting their dietary needs