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This impairment of DNA synthesis affects the rapidly dividing cells of the bone marrow earlier than other cells, resulting in the production of large, immature, hemoglobin-poor red blood cells (macrocytosis), as well as effects on white blood cells, including abnormal (hypersegmented) neutrophils and reduced overall cell counts (pancytopenia)

Those with diseases that affect the gut, such as Crohns disease or celiac disease, are also at risk ( Summary Those at greatest risk of vitamin B12 deficiency are vegans and vegetarians, who get little to no B12 from the diet

If you are a strict vegan, for example, you are more likely to suffer deficiencies of various nutrients

At Premier Medical Centers , we offer medically supervised B12 injections for weight loss tailored to your specific needs

These ingredients can degrade the peptide or cause irritation