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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 Crohns disease Taking certain medications like metformin or proton pump inhibitors (PPIs) What are the symptoms of B12 deficiency

Elderly patients should call 999 immediately if they experience difficulty breathing, throat tightness, facial swelling, or widespread rash after B12 administration, as these may indicate a rare but serious allergic reaction requiring emergency treatment

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