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Deficits in cobalamin (B12), a cobalt-containing coordination molecule, can lead to megaloblastic anemia and neurological disorders

however, re-fitting urban systems for source separation is technically complex and cost-intensive, with uncertain impacts on overall biological treatment performance, as the existing wastewater collection systems do not focus on source separation, which dilutes the available nutrients for recovery, particularly N and P 119

Tellegen AR, Rudnik-Jansen I, Beukers M, et al

[104] [105] Deficiency does not develop if dietary intake of vitamin B 12 is adequate or prophylactic B 12 supplementation is given