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J Am Acad Orthop Surg Glob Res Rev

Vegetarian or vegan diets lacking animal-based sources of vitamin B12

They can adjust the dosage based on the individual's response and ensure safe administration

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People who may not get enough vitamin B12 or who have trouble absorbing it include: Many older adults People who dont make enough hydrochloric acid and intrinsic factor in their stomachs People with pernicious anemia People who have had some types of stomach or intestinal surgery People with digestive disorders, such as celiac disease or Crohns disease People who follow a vegetarian or vegan eating plan Signs of B12 deficiency Weakness, fatigue, heart palpitations, appetite loss, weight loss, and numbness or tingling in the hands or feet (signs of nerve problems), depression, confusion, dementia, and soreness of the tongue or mouth are signs of a possible vitamin B12 deficiency

Can I mix this medication beforehand