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Groups who are at higher risk of developing a B12 deficiency include the following: Vegetarians Vegans Pregnant women Breastfeeding women Older women Those who have had gastric bypass surgery or another surgery in which part of the stomach was removed Those who drink alcohol excessively Those taking and of the drugs listed previously such as Metformin How Much B12 Is Enough

(More information) Normal function of the digestive system required for food-bound vitamin B 12 absorption is commonly impaired in individuals over 60 years of age, placing them at risk for vitamin B 12 deficiency