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For example, one of the richest sources of B12 is liver, which contains approximately 85.9 mcg per 100 gram serving (17)
[107] Anti-seizure medications phenobarbital, pregabalin, primidone and topiramate are associated with lower than normal serum vitamin concentration

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(8) Because of this, adults over 50 are encouraged to take vitamin B12 dietary supplements or seek out fortified foods