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Patients with uncontrolled hypertension, active infection, or certain cardiac conditions should consult providers before use

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People at risk of vitamin B12 deficiency can include those with: a family history of B12 anemia type 1 diabetes Crohns disease celiac disease HIV strict vegetarian or vegan diets all or part of the stomach removed chronic gastritis advanced age congenital disorders If you fit any of these categories or are concerned about your nutrition, talk with your doctor about your vitamin B12 intake and whether you may be at risk for developing a deficiency