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Okada M, Kaneko S, Hirano T, Mizuno K, Kondo T, Otani K, et al

Eur J Neurol

Since vitamin B 12 is found predominantly in foods of animal origin, strict vegetarian and vegan diets can result in vitamin B 12 deficiency (2, 16)

Where neurological symptoms are present, loading runs 1mg on alternate days until there is no further improvement, which is a presentation that belongs with a GP or specialist rather than a wellness clinic