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Rarely, hypersensitivity reactions can occur, for instance, urticaria (hives) or other allergic-type reactions have been reported in isolated cases

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It should be noted, however, that although such foods do not usually cover the daily requirement for cobalamin, products derived from plants such as purple algae ( Porphyrin sp.), green algae ( Enteromorpha sp.), and fermented soy products (e.g., douchi and tempeh) and cap mushrooms can be a source of this vitamin in a vegan diet [36]