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Those with diseases that affect the gut, such as Crohns disease or celiac disease, are also at risk ( Summary Those at greatest risk of vitamin B12 deficiency are vegans and vegetarians, who get little to no B12 from the diet

Cycling 4-6 weeks on / 2-4 weeks off is the most common community-derived structure used to manage this

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If suspecting degradation, obtain fresh vial from reliable source comparing response

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