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They may get little to no B12 from their food, because vitamin B12 only occurs naturally in animal sources

This isn't speculation

137 ReddyV

17 Summary Hepatic sarcoid, a more common extrathoracic manifestation of systemic sarcoidosis compared with luminal GI sarcoid, is most often asymptomatic

doi: 10.2165/11317010-000000000-00000