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Even though a B12-rich diet is recommended in almost all of the cases, you must consider that a person who underwent gastric bypass surgeryor any other bariatric surgery in which the intestinal tract was modifiedis not be able to absorb this nutrient anymore, meaning vitamin B12 supplementation will be mandatory

Athletes and Active Individuals : Athletes and fitness enthusiasts often have higher nutrient needs due to increased physical activity

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Chronic SSRI administration increases BDNF expression in the hippocampus, which is thought to mediate part of their delayed antidepressant effect

That number gets even worse if you have hypothyroidism (up to 50% of these patients have B12 deficiency)