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Some people get plenty through diet but still struggle to absorb it properly

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Foods high in B12 include fish, meat, poultry, eggs, dairy produce, and foods that are fortified with B12 (like some breakfast cereals.) If you follow a restrictive diet or have a condition that impacts absorption, you could be at risk for a B12 deficiency

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It is classified as a modified peptide fragment and is supplied as a white to off-white lyophilized (freeze-dried) powder that is readily soluble in water

Who should discuss this option with a clinician first