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Although they may contain varying levels of B12 plant sources are not considered a reliable source of B12

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This maintains high local concentration while preventing tissue irritation at any single spot

A deficiency can occur for several reasons, such as pernicious anemia (a condition where the body cannot absorb vitamin B12 from the diet), certain medical conditions (e.g., Crohn's disease, celiac disease), surgical removal of part of the stomach or intestine, or strict vegetarian/vegan diets if not adequately supplemented

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Both are easy to add to a routine lab order