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Risk Factors and Who Should Be Screened Certain groups are at higher risk for B12 deficiency and should consider regular screening: Older adults, as stomach acid decreases with age People with pernicious anemia or autoimmune diseases Those with Crohn's, celiac, or other malabsorption disorders Individuals who have had gastric surgery Strict vegans or vegetarians who do not supplement People taking long-term proton-pump inhibitors or metformin Those with chronic alcoholism If you belong to any of these groups, talk to your healthcare provider about checking your B12 levels, especially if you have symptoms
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