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People taking heartburn medication, such as proton pump inhibitors, are at a higher risk for B12 deficiency and may benefit from alternative therapies to control/eliminate the heartburn or have regular Nutrient IV therapies and/or Vitamin B12 injections Elderly Vegans Vegetarians People with tapeworms Alcoholics Excessive use of antibiotics Excessive use of anti-convulsant medication Daily consumption of Aspirin may increase the risk for vitamin B12 deficiency

Vegans and vegetarians, for example, are at a higher risk of B12 deficiency because the main sources are animal products like meat, fish, and dairy

He K, Merchant A, Rimm E, Rosner B, Stampfer M, Willett W et al