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Digestive disorders including Celiac disease, atrophic gastritis, and shortened small intestines can all increase the risk of vitamin B12 deficiency since nutrients arent as easily absorbed

This is common with many metabolic peptides and supplementsyour body develops tolerance, and the initial benefits diminish

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Thats why vegetarians, vegans, or people with absorption issues (like those with digestive conditions) are more likely to become deficient

There are a number of conditions that may result in this form of B12 deficiency: gastric surgery absence of stomach acid due to chronic use of some medications including antacids chronic H