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The Mayo Clinic shares that those most at risk of low levels include (5): people who dont consume enough vitamin B12 in their diet people diagnosed with pernicious anemia people whove had gastric surgeries people with intestinal issues, such as celiac or Crohns disease People following a vegetarian diet are especially at risk of deficiency

In the vegetarian diet, there are few sources of Cobalamin and its shortage can have serious implications

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You can also research the work of Sonia Russell regarding the effectiveness and need of a modernized protocol for the HCG assisted diet