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Common causes include: Reduced dietary intake People following vegan or strict vegetarian diets can be at higher risk if theyre not using B12-fortified foods or supplements

The prevalence of cobalamin deficiency among vegetarians assessed by serum vitamin B12: a review of literature. European Journal of Clinical Nutrition 68(5) (2014): 541548

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This pairing allows B12 to be absorbed into cells, where it can then help maintain nerve cells and form healthy red blood cells