Those who follow a vegetarian or vegan diet are more likely to be deficient as Vitamin B12 is mainly found in animal-based products
References Huang, T., Zhang, K., Sun, L., Xue, X., Zhang, C., Shu, Z., Mu, N., Gu, J., Zhang, W., Wang, Y., Zhang, Y., & Zhang, W
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Pernicious anemia (PA) is an autoimmune condition that impairs B12 absorption