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The most commonly described forms of vegetarianism include: "Lacto-ovo vegetarians", who avoid meat, poultry, and fish products but consume eggs and dairy foods "Strict vegetarians", who avoid meat, poultry, fish, eggs, and dairy foods "Vegans", who avoid meat, poultry, fish, eggs, and dairy foods but also do not use animal products such as honey, leather, fur, silk, and wool Strict vegetarians and vegans are at greater risk of developing vitamin B12 deficiency than lacto-ovo vegetarians and non-vegetarians because natural food sources of vitamin B12 are limited to animal foods [7]

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B12 injections circumvent these pathways entirely, delivering the full dose directly into the bloodstream where it is absorbed with near-complete efficiency

PMID: 32229762