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You're more likely to have vitamin B12 deficiency if you have a medical condition where your body can't absorb B12 or you follow a strict vegan diet

This lack of bioavailabilityhow well your body can actually absorb and use what it takes inis the reason many people don't see their blood test numbers move even after months of supplementation

The International Journal of Developmental Biology, 62 (6-7-8), 491-505

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J., Llambi F., Bouchier-Hayes L., Connell S., Muoz-Pinedo C., Green D