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B12 is an essential nutrient, and its deficiency is common, especially among individuals following restricted diets like vegetarianism or veganism, pregnant or breastfeeding women, older adults, those who have undergone gastrointestinal surgery or have gastrointestinal disorders, and people with an autoimmune condition known as pernicious anaemia

Chronic infections like hepatitis, herpes viruses, can suppress and deregulate the immune system

[DOI] [PubMed] [Google Scholar] 67.Tohyama Y., Sikiri P., Diksic M

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