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Its a big issue for those who dont eat meat or dairy, and for people with certain health problems

Those most at risk include vegans and vegetarians, people with digestive conditions such as Crohn's disease, coeliac disease or IBS, those taking long-term metformin or proton pump inhibitors, older adults whose ability to absorb B12 through the gut declines naturally with age, those with pernicious anaemia, and anyone with a history of chronic alcohol use

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doi: 10.1016/S0006-3223(03)00465-7