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Always provide your healthcare provider with a complete list of all medications and supplements you take to prevent potential adverse interactions

Other possible causes of a vitamin B12 deficiency pernicious anemia prolonged use of certain medications, such as metformin following a strict vegan or vegetarian diet certain infections, such as with the tapeworm Diphyllobothrium latum celiac disease older age high intake of alcohol Other nutritional supplements may also benefit someone with Crohns disease

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Always consult your physician before use if you are pregnant, nursing, have a medical condition, or are taking medications