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[91] Since only bacteria and some archea possess the genes and enzymes necessary to synthesize vitamin B 12 , plant and algae sources all obtain the vitamin secondarily from symbiosis with various species of bacteria, [5] or in the case of fermented plant foods, from bacterial fermentation

You can tell they all get along and have a great work culture

References PubChem

[13] [14] Deficiency impairs these pathways, leading to fatigue and reduced stamina One-carbon metabolism : B12 supports methylation reactions that contribute to various biochemical processes throughout the body Myelin formation : B12 supports the maintenance of myelin sheaths surrounding nerve fibres, ensuring efficient nerve signal transmission Red blood cell production : Adequate B12 is necessary for erythropoiesis

Certain medications can affect your B12 levels

The strength you choose depends on the patients needs and the doctors advice