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In some cases, individuals may develop SIRVA, severe allergic reactions, or other complications linked to pneumococcal bacteria exposure through vaccination
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Vegetarians and vegans : Since B12 is primarily found in animal products, individuals who follow plant-based diets may need B12 supplementation
Be aware that to improve taste, some formulations other than pills include sugar substitutes (such as mannitol, sorbitol, and/or sucralose) and, in some people, these can cause gas, bloating, and diarrhea (Grembecka, Eur Food Res Technol 2015)
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