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While many people get enough vitamin B12 from their diet, others may not absorb it efficiently or consume too little

[41] [42] Functional vitamin B 12 deficiency can also develop with heavy regular use of nitrous oxide N 2 O, also known as "laughing gas", by oxidizing the cobalt atom and inactivating the vitamin

Vegetarians or vegans If your diet doesnt consist of the proper amounts of meat, fish and eggs Over age 50 Pregnant or breastfeeding Cigarette smokers If you take medications for heartburn or take potassium supplements If youve had part of your stomach surgically removed or banded / VITAMIN B12 DEFICIENCY AND CHRONIC FATIGUE SYNDROME Why is a lack of B12 of such concern

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