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The Mayo Clinic shares that those most at risk of low levels include (5): people who don’t consume enough vitamin B12 in their diet people diagnosed with pernicious anemia people who’ve had gastric surgeries people with intestinal issues, such as celiac or Crohn’s disease People following a vegetarian diet are especially at risk of deficiency

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It is particularly common in individuals with certain risk factors, including those who have undergone gastric or small intestine resections, have inflammatory bowel disease, use metformin or proton pump inhibitors, follow a vegan diet, or are older than 75 years