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If you have additional risk factors, such as a vegetarian or vegan diet (which may be lower in B12-containing foods), a history of gastrointestinal surgery, or certain medical conditions like pernicious anemia, your healthcare provider may recommend monitoring your B12 levels and considering supplementation, including B12 shots if necessary

Peer review Peer review information Nature Communications thanks Toni Giorgino and the other, anonymous, reviewer(s) for their contribution to the peer review of this work

Accuracy matters more than convenience at this stage