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Those who follow a vegan or a plant-based diet are more likely to be deficient in vitamin b12

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Malabsorption (insufficient absorption of vitamin B12 in the intestine) due to insufficient production of intrinsic factor (a protein produced in the lining of the stomach that is needed to absorb vitamin B12), disorders in the end section of the ileum (part of the small intestine), such as sprue, fish tapeworm infestation or blind loop syndrome (change in the course of the intestine after gastric surgery)

At the same time, the production of red blood cells is also disrupted and it is this combined lack that makes severe B12 deficiency so debilitating, elaborates Dr