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A deficiency in vitamin B12 may be found in persons with a diet limited in animal foods (such as vegans), or those with medical ailments affecting vitamin absorption

Research also suggests that high homocysteine levels may affect the blood-brain barrier, contribute to the build-ups of amyloid plaques (in Alzheimers disease), reduce bone density, impair correct functioning of insulin and even promote cancer cell division (Kumar et al., 2017)