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This includes vegetarians, vegans, and those with anemiaoften caused by iron deficiency due to blood loss, poor diet, or absorption issuesas well as individuals experiencing chronic fatigue

Chronic myelogenous leukemia, promyelocytic leukemia, polycythemia vera and hypereosinophilic syndrome have all been associated with high B12 levels (25)

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A number of factors, including age, diet, and underlying medical conditions, can impact your body's capacity to metabolize and absorb B12