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Lacto-Ovo Vegetarians

In general, lacto-ovo vegetarians (LOV) whose diets are not supplemented with B12 have lower serum B12 levels and higher homocysteine levels than non-vegetarians. Though B12 is less of a concern for LOV than vegans, if B12 supplements or fortified foods are available, they should be used regularly to ensure optimal B12 status.