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The following may increase your risk of developing a vit B12 deficiency: High alcohol Gastritis Celiac disease Older age Crohns Vegan/Vegetarian diet Pernicious anaemia GI Surgery Pancreatic insufficiency pylori infection A full medical consultation and assessment will be carried out and referrals to other health professionals may sometimes be necessary prior to treatment

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Thiamin supplements may also help for people who experience: malabsorption syndrome severe, prolonged vomiting gastric bypass surgery renal replacement therapy hyperthyroidism People who are pregnant, lactating, or use diuretics may also benefit from vitamin B1 supplements