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Certain individuals are at a higher risk for B12 deficiencyincluding those following strict vegan or vegetarian diets, as well as patients with conditions that impair nutrient absorption, such as pernicious anemia, celiac disease, Crohns disease, or a history of gastrointestinal surgery

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The remaining differences can also be explained quite simply: for example, the greater need for anemia patients, by the fact that not only is the intrinsic factor switched off, but their ability for passive diffusion is diminished

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