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Fortified cereals and plant-based milk alternatives, like almond or soy milk, are good sources for vegans or vegetarians, as plant-based foods naturally lack vitamin B12.For optimal absorption of vitamin B12, it's important to ensure sufficient intake of other nutrients

[13] In a newly diagnosed vitamin B 12 -deficient patient, normally defined as when serum levels are less than 200 pg/ml, daily IM injections of hydroxocobalamin up to 1,000 g (1 mg) per day are given to replenish the body's depleted cobalamin stores

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But one of best sources by far is something that may not be a regular on your menu: beef liver

You may feel a slight stinging sensation when the needle is inserted, but it should not be severe