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The Journal of Pediatrics

Vegans can find natural source of vitamin B12 in nutritional yeast, fortified cereals, fortified soy milk, fortified meat analogues (foods made using wheat gluten or soybeans to resemble animal flesh), as well as vitamin B12 supplements that are recommended to be taken during pregnancy and conception Pregnant women, particularly, must take special care to fortify themselves with all the nutrients for their developing babies

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So now you know the importance of having a high level of vitamin B12

The surgery skips parts of the digestive tract where a key protein for B12 absorption is made