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You may be at higher risk if you: Follow a vegan or vegetarian diet Eat very little meat, fish, eggs, or dairy Are over the age of 50 Have digestive conditions affecting absorption Take certain medications, such as metformin or acid-reducing medicines Have had certain stomach or bowel surgery Have pernicious anaemia or absorption problems People in higher-risk groups may benefit from advice, testing, or treatment depending on their symptoms and medical history

Maintaining protein intake supports both outcomes simultaneously

Oral B12 absorption depends on stomach acid levels and the presence of intrinsic factor, both of which can be unreliable

Most of these treatments require only topical anesthesia, and typically you can go right back to work or school shortly after the treatment

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