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Those at a higher risk for developing a deficiency in Vitamin B12 levels include older adults, people with pernicious anemia, people with low stomach acid, people with malabsorption problems due to digestive problems such as IBS, gastritis, Colitis and Crohns (Ref) and certain medications
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NICE guidance (NG28) specifies that these agents should generally be considered in people with a BMI 30 kg/m (or lower in certain ethnic groups) and specific problems associated with high weight, or if insulin would have significant occupational implications
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