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Heavy drinking, which is having 8 drinks or more per week for women and 15 drinks or more per week for men

As a result, the body can quickly access and utilise vitamin B12, and individuals may experience rapid improvements in symptoms associated with deficiency, such as fatigue, weakness, and neurological symptoms

Vegetarians & Vegans Older adults People with pernicious anemia or GI absorption disorders (like Crohn's or celiac disease) Individuals after certain surgeries (such as gastric bypass) Pregnant women People on chronic metformin or proton pump inhibitors (PPIs) How much does a B12 shot typically cost