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These include- Aged over 75 Decreased stomach acid Frequent use of antacids Autoimmune conditions affecting the stomach High doses of folic acid Stomach surgery Prolonged use of metformin Adoption of a vegan or vegetarian diet Excessive alcohol consumption How Does Vitamin B12 Benefit Your Body

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Whilst B12 plays an essential role in energy metabolism, red blood cell production, and nervous system function, there is no evidence that supplementation increases energy in individuals with normal B12 status