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Currently this source is banned in the US for health and safety reasons due to mad cow disease

For this reason, its deficiency produces a spectrum of clinical manifestations

[DOI] [PMC free article] [PubMed] [Google Scholar] 118.Zimmermann M.B

Efficacy of supplementation with methylcobalamin and cyancobalamin in maintaining the level of serum holotranscobalamin in a group of plantbased diet (vegan) adults. Experimental and Therapeutic Medicine 22(3) (2021): 17