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Older adults Individuals who follow a vegetarian or vegan diet People with gastrointestinal absorption problems, such as chronic inflammatory bowel disease Individuals who have undergone stomach surgery or have impaired nutrient absorption Those who take certain medications long term, such as acid-reducing drugs or Metformin for diabetes Recommended Daily Intake of Vitamin B12 The body requires only a small amount of Vitamin B12, but it needs to be consumed regularly

doi: 10.1080/15376510701623508 44

If response plateaus, the clinic catches that early instead of three cycles later

PGE2, prostaglandin E2

Circulation (1998) 97:38190.10.1161/01.CIR.97.4.381 155 MiyazawaTMatsumotoKOhmichiHKatohHYamashimaTHakamuraT