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In addition, it is vital to recognize that patients with pernicious anemia will require lifelong vitamin B12 supplementation to prevent the recurrence of hematologic and neurological problems

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These include: Its wise to talk to a doctor about B12 supplements

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While deficiencies take time to develop, people with gastrointestinal disorders, low stomach acid (common with aging), or those following vegan or vegetarian diets may struggle to get enough B12