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The prevalence of cobalamin deficiency among vegetarians assessed by serum vitamin B12: a review of literature. European Journal of Clinical Nutrition 68(5) (2014): 541548

Proton pump inhibitors (acid blockers) and over-the-counter non-steroidal anti-inflammatory agents can change the environment of the GI tract predisposing to nutrient deficiencies Unfortunately, that isnt an exhaustive list, but it does give you a pretty good idea of why you should be concerned about your vitamin B12 levels

B3 that is not methylated can be instead transformed into another molecule called nicotinamide adenine dinucleotide (NAD+), which is essential for producing energy, repairing DNA, and other benefits

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Preparing, conducting, and analyzing Delphi surveys: Cross-disciplinary practices, new directions, and advancements