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Coracidia are ingested by crustaceans, the first intermediate host, and then develop into procercoid larvae in the body cavities of the crustaceans
Shaking the vial can denature the peptide, meaning the delicate protein chains are broken apart
Washington DC: The National Academies Press
Gastrointestinal symptoms: alteration in bowel motility, such as mild diarrhea or constipation, and loss of bladder or bowel control
Tiredness is common, but it is not specific to B12 deficiency, so testing may be needed
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