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No significant difference in the prevalence of symptoms was found between participants with MMA levels 400 nmol/l (n = 60) and those whose levels were 600 nmol/l showed some improvement in neurological symptoms (Hvas, 2001b)

The British Dietetic Association and The Vegan Society recommend that individuals following plant-based diets take regular B12 supplements (at least 10 micrograms daily or 2,000 micrograms weekly of cyanocobalamin) or consume fortified foods consistently

10.1016/s0076-6879(10)72010-3 191 FerrieresG.CalzolariC.ManiJ

Periodic reassessment helps optimize long-term strategies