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In summary, although the process of meningococcal interaction with epithelial cells has been studied for many years and many meningococcal adhesins/invasins have now been characterized in detail, much remains to be clarified about the relevance, especially in vivo , of the results obtained with in vitro cellular models

For example, individuals using medications that affect Vitamin B12 absorption, vegans, pregnant or breastfeeding women, and anyone with a condition that increases the need for Vitamin B12 should speak with their doctor about getting a vitamin B12 injection