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Thus, scientists must note that unanticipated reactions may emerge as research progresses

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If youre concerned about pernicious anemia, ask your healthcare provider if youre at risk and what steps you can take to avoid vitamin B12 deficiency

The elderly (reduced absorption) Pernicious anemia Vegetarians / Vegans (low dietary B12) People taking metformin or acid reflux medications (PPIs) Post-bariatric or gastric-bypass patients Genetic variants in MTRR , MTR , or TCN2 What Has B12 Been Studied For