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If you have additional risk factors, such as a vegetarian or vegan diet (which may be lower in B12-containing foods), a history of gastrointestinal surgery, or certain medical conditions like pernicious anemia, your healthcare provider may recommend monitoring your B12 levels and considering supplementation, including B12 shots if necessary

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Vegans and "patients with diseases like Crohn's and colitis as well as people with pernicious anemia are also particularly vulnerable to deficiency," added Silverstein

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