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The limitations

Common causes include: Pernicious anaemia Malabsorption disorders (e.g., coeliac disease, Crohns) Chronic alcohol abuse Long-term use of antacids or metformin Vegan or vegetarian diet without supplementation 3

What the science actually says Here is where the marketing and the evidence part ways: Metabolism

At baseline, 67% of all enrolled women had less than adequate vitamin B 12 blood levels and there were no differences between the two groups
