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You can still get B12 from dairy products, fortified cereals, and fortified non-dairy products if you're vegetarian
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Pigmentation changes are rare but possible, particularly with higher doses or extended use
10.1016/j.lfs.2011.01.015 [DOI] [PubMed] [Google Scholar] Ilic S., Drmic D., Zarkovic K., Kolenc D., Brcic L., Radic B., et al
In lab settings the capsules are taken orally 100-500mcg once or twice daily
