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However, certain groups require particular attention: Vegans and strict vegetarians must obtain B12 through: Fortified foods (plant-based milk alternatives, breakfast cereals, nutritional yeast) Regular B12 supplementation (typically 1025 micrograms daily or 2000 micrograms weekly) The Vegan Society recommends that all vegans supplement B12, as plant-based sources are unreliable and insufficient

Whether someone with PA can utilize liver stores is something I'm not sure about - some textbooks indicate that the mobilization mechanism of B12 from the liver is not well understood

Its crazy what were seeing out there

Patients in the Miami area should expect a multi-modal approach