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Second, medications that many older people take, like metformin for diabetes or proton-pump inhibitors for acid reflux, can also impact absorption. Are vegan or strictly vegetarian: Because most dietary intake of B12 comes from animal products, B12 supplements are recommended for people who eat a vegan diet or a vegetarian one with few eggs and dairy products

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Am J Clin Nutr 1980;33:2151-6

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People who have difficulty processing vitamin B12 may develop anemia