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The 2024 NICE NG239 guideline on vitamin B12 deficiency in over-16s lists the main groups who need injections: Autoimmune gastritis (pernicious anaemia)

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It is rare in plant-based products, so people with a vegan diet can often suffer from vitamin B12 deficiency and related symptoms

On the microscopic histology scale, tendinopathy is seen as disorganized collagen fibrils, increase in mucoid ground substance, changes in collagen subtype expression, random neovascularization, focal necrosis, fibrocartilaginous metaplasia, calcification, and interstitial tearing