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Because B12 is primarily found in animal-based products, vegetarians and vegans are particularly susceptible to B12 deficiencies
Injections and Implanted Drug Products (Parenterals) and USP Endotoxins Chapter 85
Considering the number of patients and the few reported cases, you can see how rare these reactions really are
Sadly some people with "traditional P,A." either do not produce Intrinsic Factor or if they do, they also produce an antibody which destroys it and it is then called "Autoimmune Pernicious Anaemia"
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