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While spirulina, dried nori, barley grass and most other seaweeds contain some B12 (dirt even contains some), consuming these foods hasnt been shown to provide enough B12 to vegans

Its crucial to adhere to recommended cycle lengths (e.g., 30-60 days on, followed by an equal period off) to prevent this and maintain efficacy

doi: 10.1093/annonc/mdw027 [DOI] [PubMed] [Google Scholar] 2.Munker S, Gerken M, Fest P, et al

In 1990, the American College of Rheumatology (ACR) defined classification criteria that required multiple tender points (areas of tenderness occurring in muscles and muscletendon junctions) and chronic widespread pain