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Autoimmune or chronic diseases such as Hashimotos, diabetes, and rheumatoid arthritis tax the immune system and damage tissue

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DeNicola GM, Karreth FA, Humpton TJ, Gopinathan A, Wei C, Frese K, Mangal D, Yu KH, Yeo CJ, Calhoun ES, Scrimieri F, Winter JM, Hruban RH, Iacobuzio-Donahue C, Kern SE, Blair IA, Tuveson DA

Adults who may need evaluation for low B12 include strict vegans, some vegetarians, older adults, and people with digestive conditions that affect absorption