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During the attack, the peripheral blood smears show: RBCs with punched-out defects in their shapes are seen
However because vitamin B12 is primarily found in animal products such as milk, cheese, and eggs, vegans are at higher risk of having a vitamin B12 deficiency
Some people get a push on a regular basis, such as weekly, and others get them much less often
Unfortunately, many people especially those under stress, eating less animal protein, or dealing with digestive issues dont absorb enough B12 from food alone
Rather than acting as an immune stimulant, it performs as a regulator
Apweiler M, Wilke Saliba S, Streyczek J, Normann C, Hellwig S, Brase S, et al
