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Fermented foods (such as tempeh), nori, spirulina, chlorella algae, and unfortified nutritional yeast cannot be relied upon as adequate or practical sources of B-12.39,40 Vegans must regularly consume reliable sourcesmeaning B-12 fortified foods or B-12 containing supplementsor they could become deficient, as shown in case studies of vegan infants, children, and adults
(2) Increased acetylcholine stimulates muscarinic M3 receptors on the ciliary muscle, producing ciliary muscle contraction
They may be able to help if the side effects are difficult to control or are making life really tough
American Academy of Family Physicians (AAFP)
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