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Langan RC, Zawistoski KJ (2011) Update on vitamin B12 deficiency

Other groups that are at a greater threat of having a vitamin B12 deficiency consist of cigarette smokers (given that nicotine could obstruct absorption), alcoholics, those with anemia, and any individual with a gastrointestinal condition like Celiac or Crohns illness

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But if there is a problem in the digestive system, the vitamin may not be absorbed properly

For those who follow a vegetarian or vegan diet, fortified foods or supplements may be necessary