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The panel agreed that initial treatment should be parenteral for severe cases, while high-dose oral B12 can be considered for maintenance

It helps create your DNA and red blood cells, for example

This diet is a risk factor for cardiovascular diseases and kidney failure (171, 172)

However, when inflammation becomes chronic or damage outpaces repair, problems develop

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Certain populations face higher deficiency risk: vegetarians and vegans (B12 is primarily found in animal products), adults over 50 (decreased stomach acid reduces B12 absorption), individuals with digestive disorders like Crohn's disease or celiac disease, and those taking medications like metformin or proton pump inhibitors