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Certain medical conditions, medications, and dietary habits can affect B12 absorption, including: Gastric bypass surgery or other weight-loss surgeries Digestive disorders like Crohn’s disease or celiac disease Prolonged use of acid-reducing medications Aging (people over 50 produce less stomach acid, making B12 absorption more difficult) Restrictive diets that limit B12-rich foods Furthermore, stress and environmental factors can also contribute to B12 deficiencies, even among individuals who consume adequate amounts of animal-based foods

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Nausea: Occasional gastrointestinal upset, especially with rapid escalation