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Those most at risk include vegans and vegetarians, people with digestive conditions such as Crohn's disease, coeliac disease or IBS, those taking long-term metformin or proton pump inhibitors, older adults whose ability to absorb B12 through the gut declines naturally with age, those with pernicious anaemia, and anyone with a history of chronic alcohol use

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So, we work to get them out of the weeds and on a regimen where theres data to support everything that were recommending. When asked about supplement risks, Dr

In a study (3) of people with normal levels of the vitamin, a B12 supplement didnt have an effect on depression