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The B12-producing bacteria that used to populate our soils have been depleted through modern agricultural techniques, meaning that even grazing livestock is unlikely to get enough B12 for us to absorb efficiently by consuming animal-derived food

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[1] It often forms nodules, and can be associated with fibrosis and adhesions

Rather than manipulating hormones, suppressing appetite, or artificially stimulating the nervous system, it works at the level of basic cellular energy production and storage