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Additionally, older adults, people with gastrointestinal conditions, and those on certain medications, including proton pump inhibitors and metformin, may need to take a supplement

These symptoms may suggest inadequate B12 replacement, concurrent iron or folate deficiency, or alternative haematological conditions requiring investigation

L-cysteine, 0.5

Nonetheless, is also knonw that this risk is generally lower in congenital forms of hypogonadism (such as congenital hypogonadotropic hypogonadism) [91]

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However, it is primarily found in animal-based products, making it difficult for vegans and vegetarians to get adequate levels of B12 through diet alone