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Many foods are fortified with artificial vitamin B12, such as non-dairy milks and cereals, but these are not always optimally absorbed, so vegans must still be proactive about making sure they are not becoming deficient

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While there are treatments available to alleviate some of the symptoms and reduce the frequency of relapses, many patients still progress into a secondary phase of the disease, which steadily worsens over time, causing severe disability

doi: 10.1016/0006-2952(93)90167-u

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