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33,34,35,36,37 One study suggests that length of time from diagnosis of cognitive impairment is important for response rate, in that patients who had experienced symptoms for less than 12 months improved on B12, whilst those with symptoms for more than 12 months continued to decline

Though some bacteria in the small intestines produce B12, it isnt enough to maintain adequate status in humans.2,4 According to Jack Norris, RD, a vegan expert and coauthor of Vegan for Life: Everything You Need to Know to Be Healthy and Fit on a Plant-Based Diet , there are no reliable sources of B12 in plants, contrary to many rumors about sources such as tempeh, seaweeds, and organic produce

In some cases, it can be difficult for older people to get the full benefits of supplements due to the inability to swallow pills and digest them properly

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