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Fermented foods (such as tempeh), nori, spirulina, chlorella algae, and unfortified nutritional yeast cannot be relied upon as adequate or practical sources of B-12.39,40 Vegans must regularly consume reliable sourcesmeaning B-12 fortified foods or B-12 containing supplementsor they could become deficient, as shown in case studies of vegan infants, children, and adults

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by: 148 Jzwiak, M., Bauer, M., Kamysz, W., & Kleczkowska, P

Other Causations As with the other 80 or so Rheumatoid Diseases, Systemic Lupus Erythematosus may be considered to have multiple causes and probably should be treated in various ways, including proper nutrtional support