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When deficient, animals can have reduced appetite and growth rates, ill thrift, infertility, and reduced wool and milk production

Ratan ZA, Haidere MF, Hong YH, Park SH, Lee JO, Lee J, Cho JY

B12 is an essential nutrient, and its deficiency is common, especially among individuals following restricted diets like vegetarianism or veganism, pregnant or breastfeeding women, older adults, those who have undergone gastrointestinal surgery or have gastrointestinal disorders, and people with an autoimmune condition known as pernicious anaemia

Neurotherapeutics 10 , 782788 (2013)

Yang, The Risks and Benefits of Long-term Use of Proton Pump Inhibitors: Expert Review and Best Practice Advice From the American Gastroenterological Association