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Vitamin B12 is not typically found in plants, so vegans and vegetarians may need to look for fortified breakfast cereals that include B12 or opt for a regular supplement (NIH, 2020)

Is there a big red sticker on popular over-the-counter heartburn medication about impacts to your B12 nutrition? Thats rhetorical

I had glandular fever in my late teens and had these horrible injections at that time in the rear

Other patients starting off on B12 will do an injection per week for four weeks, before beginning their monthly maintenance

People who follow strict vegan diets are also likely to need Vitamin B12 injections since their vegan diet may not prioritize Vitamin B12