Due to the voluntary nature of post-marketing reports, neither a frequency nor a definitive causal relationship can be established
Fermented foods (such as tempeh), nori, spirulina, chlorella algae, and unfortified nutritional yeast cannot be relied upon as adequate or practical sources of B-12.39,40 Vegans must regularly consume reliable sourcesmeaning B-12 fortified foods or B-12 containing supplementsor they could become deficient, as shown in case studies of vegan infants, children, and adults
You can see why, if your liver is already damaged, it would be easier to overdose
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Conjugation with glutathione receptors renders toxic substances more soluble, and therefore more readily exocytosed from the cell