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Vegans and Vegetarians: Since B12 is primarily found in animal products, those on strict plant-based diets are at a higher risk of deficiency and may need supplementation

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Without this link, insurers may question the necessity of the procedure

Caution is advised regarding the use of oral supplements in patients with pernicious anaemia, meaning that careful monitoring of symptoms would be required, and is not generally advised in patients with neurological symptoms, owing to limited efficacy and potentially serious impact of permanent neurological damage[25]

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