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So people at greatest risk for deficiency include those with low stomach acid (e.g., older adults and people on proton pump inhibitors or antacids) or low IF production (known as pernicious anemia), people on medications that interfere with B12 absorption (such as metformin), people who have had gastric surgery, those with GI conditions that impair nutrient absorption (like celiac or Crohn's disease), and people on vegan and vegetarian diets

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71:368372 Miller, A., Korem, M., Almog, R., & Galboiz, Y

(For more information on body condition scoring, click here.) It is important that roughage is high-quality and easily digestible because the does rumen capacity is decreased when the uterus is full of growing kids

Neurologic aspects of cobalamin (B12) deficiency