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This includes vegans and vegetarians, older adults, individuals with atrophic gastritis, pernicious anemia, gastrointestinal disorders, those who have had gastrointestinal surgery and people who take certain medications including, but not limited to, estrogen (HRT), and birth control pills
However, doctors may recommend taking B12 supplements after the age of 50 years as your ability to absorb B12 decreases with age
People with these conditions might need shots more often
Initial investigations typically include liver function tests, renal function assessment, and full blood count
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