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Description

Both responses are normal

There are no non-animal sources verified by human trials, therefore it is imperative that vegans and vegetarians supplement with B12

Elevated methylmalonic acid or homocysteine with normal-ish b12 suggests functional deficiency requiring supplementation

A 2025 meta-analysis of 16 studies involving 6,098 participants found no statistically significant difference between intramuscular, oral, and sublingual B12 supplementation routes