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I was lucky to have made the connection as I found out I was taking synthetic B12 from a complete-food powder (Huel, similar to Soylent), which of course contained B12 with the cyano-group attached and hypothesized that being the cause as Ive been mostly vegan by consuming Huel as my main meal three times a day almost every day with the very occasional meat or cheese

Kuznik BI, Khasanova NB, Ryzhak GA, Mezsheriakova IE, Khavinson VK

10.1007/s12011-012-9549-8 141 LiuC.HutchensS.JursaT.ShawlotW.PolishchukE

Penn State Health Golisano Childrens Hospital, adjacent to the Medical Center, includes surgical suites, inpatient rooms and outpatient clinics for children