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Safety and efficacy for this formulation have not been evaluated by the FDA

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Other risk groups include older adults, pregnant women, people taking metformin or long-term acid-suppressing medications (PPIs, H2 blockers), those with conditions affecting the gastrointestinal tract (pernicious anaemia, Crohn's disease, coeliac disease), and individuals who have undergone gastric or ileal surgery

Most people in the general population can get enough vitamin B12 from a balanced diet

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