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Vitamin B12 deficiency can occur due to dietary restrictions (vegetarian or vegan diets), absorption issues (pernicious anemia or gut disorders like celiac disease or Crohns disease), age-related changes in elderly patients, or long-term use of certain medicines

A deficiency may not manifest for several years, since the vitamin can be retained for a long period in the liver

Cyanocobalamin works by replenishing the bodys stores of vitamin B12

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