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People at risk of vitamin B12 deficiency can include those with: a family history of B12 anemia type 1 diabetes Crohns disease celiac disease HIV strict vegetarian or vegan diets all or part of the stomach removed chronic gastritis advanced age congenital disorders If you fit any of these categories or are concerned about your nutrition, talk with your doctor about your vitamin B12 intake and whether you may be at risk for developing a deficiency

Those who follow a strict vegetarian or vegan diet without compensating with B12 fortified food for example ( vitamin B12 binds to animal proteins), or have low vitamin B12 levels due to a health condition that might affect vitamin B12 release and absorption, might have difficulty reaching their vitamin b12 requirements

From 'Laughing Gas' to 'Galaxy Gas': An Updated Review on the Neurological, Pathologic, and Psychiatric Sequelae of Nitrous Oxide Abuse

You may consume a 10mg tablet but the body may only absorb 5mg or less