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Groups at higher risk of deficiency include older adults (due to reduced stomach acid production), vegans and vegetarians, people with pernicious anaemia or gastrointestinal disorders affecting absorption, and those taking certain medications such as metformin or proton pump inhibitors

See more The WADA Prohibited List may include any substance and methods that satisfy any two of the following three criteria: It has the potential to enhance or enhances sport performance

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Some people who need shots include those who have had gastrointestinal surgery if their digestive system cannot absorb vitamin B12 efficiently

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