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In most cases, yes
In fact, up to 88% of people on plant-based diets may lack adequate serum vitamin B12 levels

[DOI] [PubMed] [Google Scholar] 154.Klostranec JM, Vucevic D, Crawley AP, Venkatraghavan L, Sobczyk O, Duffin J, Sam K, Holmes R, Fedorko L, Mikulis DJ, Fisher JA

That single block sets off a chain of changes inside fat cells
