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Vitamin B12 is found mainly in animal foods such as meat, fish, dairy products and eggs however, even if you are eating meat a few times a day you can still become deficient if your body is unable to absorb it

A new perspective on vitamin B12 deficiency in rheumatology: a case-based review

Perturbations in the gut microbiota expose the intestine to inflammatory and genotoxic metabolites such as secondary bile salts, trimethylamine N-oxide, hydrogen sulfide, heme, nitrosamines, heterocyclic amines, and polyaromatic hydrocarbons

This requirement is in place because bacteriostatic water is used to dilute or reconstitute injectable medications, and improper use without medical supervision can pose significant health risks