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So people at greatest risk for deficiency include those with low stomach acid (e.g., older adults and people on proton pump inhibitors or antacids) or low IF production (known as pernicious anemia), people on medications that interfere with B12 absorption (such as metformin), people who have had gastric surgery, those with GI conditions that impair nutrient absorption (like celiac or Crohn's disease), and people on vegan and vegetarian diets

Vitamin B12 increases energy levels in two main ways

Cyanocobalamin (Vitamin B-12) 1000mcg/ml (10ml Vial) In Stock Prescription Required SKU: *CYANOCOBALV10 $30.60 1 Count vial / $30.60 Quantity PRESCRIPTION REQUIRED: This product requires a valid prescription for shipment, please note that HealthWarehouse may not accept prescriptions faxed or emailed by patients

Dietary changes: Incorporate B12-rich foods such as eggs, salmon, fortified cereals, and dairy