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Its basic patent economics

Starvation ketoacidosis due to the ketogenic diet and prolonged fasting - a possibly dangerous diet trend
[DOI] [PubMed] [Google Scholar] 98.Domes G., Heinrichs M., Michel A., Berger C., Herpertz S.C

Vegans and vegetarians are especially likely to be low on B12 because B12 is only naturally present in animal products and meat

It is produced inside the body and is present in most cells