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A more likely reason for deficiency would be low absorption in the gut, probably because of pernicious anemia or another condition

The afternoon is dedicated to exploring the Huacachina Oasis, a unique geographical phenomenon where you will engage in supervised adventure activities including rides in specialized all-terrain vehicles over fine sand dunes and sandboardingculminating in one of the most spectacular sunsets to be experienced on Peruvian soil

Together with B-vitamin fortified food (e.g., cereal, nutritional yeast) and supplements, these foods might contribute, though modestly, to prevent vitamin B 12 deficiency in individuals consuming vegetarian diets

For instance, hospitalized patients with severe alcohol-related malnutrition might receive 1 mL IM daily for a week

10.1007/s11845-023-03602-4 [DOI] [PMC free article] [PubMed] [Google Scholar] 22.Carmel R