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Although the marketing machines behind these products claim Spirulina has ample B12, these plants actually contain fake B12, which can test as B12 in some labs.t Additional research has shown these are false positives, and the actual B12 count is very low

Fibromyalgia patients with functional GI disorders should discuss this combination carefully with their provider before starting, as side effects may be more pronounced

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1 The British Society for Haematology does not recommend retesting vitamin B 12 levels after treatment has been initiated, and no guidelines address the optimal interval for screening high-risk patients