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People who eat a vegan diet and do not take vitamin B12 supplements or eat foods fortified with vitamin B12, are also at risk
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Palacios et al
However, high-dose niacin (as a medication for cholesterol) is generally not recommended during breastfeeding, because significant amounts could enter milk and cause unwanted effects in the nursing infant (flushing, for example)
A 2011 study in the American Journal of Public Health found that obesity reduced US life expectancy at age 50 by 1.54 years for women and 1.85 years for men
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