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Others who might be prescribed B12 shots are those at the highest risk for a B12 deficiency, including: Vegans, since vitamin B12 is found only in animal products People ages 60 and up since their bodies don't absorb B12 as efficiently People with Crohn's disease or pancreatic disease, since they prevent nutrient absorption People who had weight-loss surgery, which decreases B12 absorption People with an eating disorder People with HIV People with diabetes Since a mild B12 deficiency might not cause symptoms, it can go undetected for years since levels are not checked during routine blood work

doi: 10.1016/S0028-3932(99)00106-2

They also identified an intermediate group (i.e., between those with severe B12 deficiency and those with optimal vitamin B12 status) who were defined by a serum MMA of 148nmol/L, although their vitamin B12 status was difficult to interpret

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This study was the first to demonstrate that Epitalon influences the expression levels of several genes within this category