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Other risk groups include older adults, pregnant women, people taking metformin or long-term acid-suppressing medications (PPIs, H2 blockers), those with conditions affecting the gastrointestinal tract (pernicious anaemia, Crohn's disease, coeliac disease), and individuals who have undergone gastric or ileal surgery

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

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Safety and efficacy for this formulation have not been evaluated by the FDA

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