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These include: Vegetarians and vegans, as vitamin B12 is mainly found in animal products Older adults, as they absorb vitamin B12 less well with age People with gastrointestinal disorders, like celiac disease or Crohns disease, which can block vitamin B12 absorption Those taking certain medications, such as proton pump inhibitors or metformin, which can also block vitamin B12 absorption Its best to talk to a healthcare professional about whether you need vitamin B12 supplements

However, it's still important to follow your prescribed dosagemore isn't necessarily better, and using only what you need is both medically appropriate and cost-effective

doi: 10.1016/j.bbalip.2003.09.007

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One of the most common things I look for when I see unexplained high B12 with concurrent symptoms is mast cell activation syndrome (MCAS)