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Populations at a higher risk of vitamin B12 deficiency include people who are vegetarian or vegan, exclusively breastfed infants of vegan women, older adults, those with gastrointestinal disorders or who have had gastrointestinal surgery, and people with an autoimmune condition known as pernicious anemia

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While a blood test is the definitive way to diagnose a clinical deficiency, it isnt always required to start B12 injections for general wellness purposes

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