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Revised Date: January 18, 2023 Recommendations and Topics Scope Key Recommendations Background Epidemiology Patient Risk Factors Associated with B 12 Deficiency Patient Risk Factors Associated with Folate Deficiency Prevention Diagnosis Management Ongoing Care References Resources Appendix A: Dietary sources of cobalamin Scope This guideline covers the primary care investigation and management of cobalamin (vitamin B 12 or simply B 12 ) and folate deficiency in adults

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There have been many documented cases of individual vegans developing overt B12 deficiency symptoms after a period of not supplementing (see Individual Cases of B12 Deficiency in Vegans)

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Ongoing needs depend on individual health and absorption issues, as determined by a healthcare provider