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Excellent dietary sources include: Meat : beef, lamb, and pork (particularly liver, though liver should be limited in pregnancy due to high vitamin A content) [3] [4] Fish : salmon, sardines, and tuna (limit tuna to 2 steaks or 4 medium cans weekly due to mercury content) Poultry : chicken and turkey Dairy products : milk, cheese, and yoghurt Eggs : particularly the yolk For women following plant-based diets , obtaining sufficient B12 from food alone is challenging, as plant foods do not naturally contain bioavailable B12

It is not approved by the FDA for clinical use

They require storage in the fridge and away from light the longer they sit on the shelf, the weaker their effect

One of the few reports to support this supposition was the measurement of portal venous endotoxin concentrations and culturable bacteria in patients undergoing elective laparotomy [59]