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Strict vegetarians and vegans are at high risk for developing a B12 deficiency if they dont eat grains that have been fortified with the vitamin or take a vitamin supplement

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Understanding the distinct evidence base, regulatory status, and safety profile of each agent and the complete absence of clinical data on their combined use is essential for patients and healthcare professionals navigating this rapidly evolving and largely unregulated landscape

The deficiency can lead to subtle cognitive and neurologic changes, as well as to more severe anemia and dementia

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