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hypotheses state that genetic predisposition, stressful life events, peripheral (inflammatory) and central (cognitiveemotional) mechanisms interplay to create pain dysperception owing to neuromorphological modifications (nociplastic pain)

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

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doi:10.1515/CCLM.2002.086 46 Yilmaz, H