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They aren't supplying B12 for any medical condition, so they don't have to worry about what they sell going off

So, if you are vegetarian or vegan, B12 supplement intake is recommended

Pernicious anemia occurs more commonly in people who already have diseases that are linked to immune-system abnormalities, such as Graves disease, hypothyroidism (under-functioning thyroid gland), thyroiditis (inflammation of the thyroid), vitiligo, and Addison's disease (adrenocortical insufficiency)

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