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Similarly, individuals who have undergone intestinal surgery, including weight loss surgery, are also at higher risk

The reason it is less common is that it is included in most commercial pig feeds, as with poultry

B12 injections should be avoided during pregnancy, breastfeeding, or if you plan to become pregnant or breastfeed soon

Concomitant deficiencies (iron, folate), chronic illness, or drug interactions may blunt clinical response and warrant further evaluation