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Groups who are at higher risk of developing a B12 deficiency include the following: Vegetarians Vegans Pregnant women Breastfeeding women Older women Those who have had gastric bypass surgery or another surgery in which part of the stomach was removed Those who drink alcohol excessively Those taking and of the drugs listed previously such as Metformin How Much B12 Is Enough

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Increased dysbiosis, impaired intestinal barrier, bacterial translocation and pro-inflammatory response play an important role in the development of chronic liver disease