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B12 is naturally present in animal based foods such as: Chicken and lean red meat Fish and seafood such as oysters, clams, salmon, tuna and catfish Dairy products such as milk, cheese, yoghurt, plus vegan milk substitutes that are fortified Eggs Plus, fortified breakfast cereals

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Patients with severe, longstanding deficiency typically require longer recovery periods, with haematological improvement occurring over weeks and neurological recovery potentially taking months