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[DOI] [PMC free article] [PubMed] [Google Scholar] 197.Fox TE, Houck KL, ONeill SM, Nagarajan M, Stover TC, Pomianowski PT, et al

Allergic reactions are possible, though infrequent

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Possible contributing factors include bacterial or parasitic infections, immune system dysregulation and food intolerances or allergies, particularly to specific proteins

They already have minimal b12 intake

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