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78 When ingested during the first trimester of pregnancy, carbamazepine has been associated with a slight risk of spina bifida

Those at a higher risk for developing a deficiency in Vitamin B12 levels include older adults, people with pernicious anemia, people with low stomach acid, people with malabsorption problems due to digestive problems such as IBS, gastritis, Colitis and Crohns (Ref) and certain medications

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