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You may not get enough B12 in your diet if you are: Vegan Vegetarian Over 50 Living with digestive conditions that affect nutrient absorption, such as IBS, celiac, or Crohn’s disease Taking certain medications like metformin or proton pump inhibitors (PPIs) What are the symptoms of B12 deficiency

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Some supplement brands attempt workarounds, such as liposomal delivery or chemical modification, but clinical data on these methods remains inconsistent