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Not taking B12 supplements or regularly eating B12 fortified foods may explain the higher stroke risk found among vegetarians

The efficacy of oral supplementation of vitamin B12 is limited by factors such as the absence of IF, gastric surgery, concomitant metformin, or antacid treatment

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Anyone who suspects they have experienced an adverse reaction to any medicine or substance licensed or otherwise should report it to the MHRA via the Yellow Card scheme (yellowcard.mhra.gov.uk)

Sources: Seiwerth S, et al