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These groups include: Vegetarians and Vegans: Because plant-based diets lack natural sources of B12, supplementation is often necessary to prevent deficiency-related symptoms such as fatigue, anaemia, and nerve damage

It then goes on to play its part in producing healthy red blood cells." So your friend will clearly need a fully functioning ileum

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### Continue to monitor your health As you proceed with treatment, your provider will likely ask you to keep track of your symptoms and whether they recede