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But it's also not nearly as difficult for members of the public to access as it was when I first started with Rivas

[DOI] [PMC free article] [PubMed] [Google Scholar] 49.Wu W, Wang P, Cheng JX, Xu XM

He reports that most vegans show adequate B12 levels to make clinical deficiency unlikely, but they may show restricted activity of B12-related enzymes, leading to elevated homocysteine levels, which has been linked to increased risk of heart disease and stroke

"The data and hypothesis are very intriguing, but much additional investigation is required to determine if this is a real cause-and-effect phenomenon," said Josh Miller, a professor of nutritional sciences at Rutgers University who was not involved with the study