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People who follow a vegetarian or vegan diet are at an increased risk for B-12 deficiency and may need to add a B-12 supplement to their daily diet

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155,156 A meta-analysis of 15 randomized controlled trials with a combined total of 976 participants found supplementing with Lactobacillus species, especially L

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Investigations Initial GP investigations include urine pregnancy beta hCG and urinalysis, looking particularly for increased specific gravity and significant ketonuria, usually 3+ ketones