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Vitamin B12 deficiency can occur due to dietary restrictions (vegetarian or vegan diets), absorption issues (pernicious anemia or gut disorders like celiac disease or Crohns disease), age-related changes in elderly patients, or long-term use of certain medicines

Since your body cannot absorb naturally produced B12 from gut bacteria, animal-based dietary sources like meat, fish, eggs and dairy[5] as well as fortified foods or supplements are necessary to meet daily needs