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Relativement rare, cette carence peut notamment rsulter d'apports insuffisants chez des personnes suivant un rgime vgtalien non complment, ou ayant des problmes d'absorption

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Additionally, multivitamin supplementation, particularly vitamin B12 (cobalamin), may be beneficial for neuronal protection

Another reported effect has been growth of lymphoid tissue (specially acromegaly and tonsillar hypertrophy), renal enlargement (with normal kidney function) and in rare cases facial coarsening of features and incremented hair growth [264]