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Groups at higher risk of deficiency include older adults (due to reduced stomach acid production), people following vegan or strict vegetarian diets (as B12 is naturally found almost exclusively in animal products), individuals with pernicious anaemia or other malabsorption conditions, those taking certain medications such as metformin or proton pump inhibitors long-term, and people with significant nitrous oxide exposure (including recreational use), which can inactivate B12 in the body

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If deemed necessary, your healthcare provider can issue a prescription for B12 shots and provide guidance on administration and monitoring

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Trace amounts of this bacteria are often present in municipal water supplies but do not thrive in the cold temperatures