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Most people who follow a healthy diet and consume animal products get enough B12, but some people who follow a vegetarian or vegan diet may not get enough B12 from the foods they eat and might benefit from a vitamin B12 supplement

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doi:10.1016/j.cgh.2006.10.025 14Levine DS, Riff DS, Pruitt R, et al

The vial has been consistently refrigerated except for brief removal during dose preparation