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Many people dont consume enough Vitamin B12 in their diet and therefore experience a vitamin B12 deficiency, those who follow a vegetarian and vegan diet for example

This limits absorption and reduces its overall effectiveness

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Neural Regen Res 11(5):842845 Book-peterson's principles of oral and maxillofacial surgery Second Edition, Michael Miloro Editor (2004) Hlzle FW, Wolff KD (2001) Anatomic position of the lingual nerve in the mandibular third molar region with special consideration of an atrophied mandibular crest: an anatomical study