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COMPLIANCE: You certify you understand the hazards and will handle all materials in compliance with local, state, and federal laws

One concern is that, if pre-cancerous cells are already present, very high availability of growth-supporting nutrients such as B12 could, in theory, support their growth too

You may be at risk if you: Are in the elderly age group Follow a vegetarian or vegan diet Have had stomach or intestinal surgery Suffer from digestive issues like celiac disease or Crohns disease Take acid-lowering medications like PPIs or H2 blockers Take metformin for diabetes Are pregnant or breastfeeding Sources of Vitamin B12 B12 is mainly found in animal-based foods : Meat, poultry, fish (especially liver) Eggs and dairy (milk, cheese, curd, paneer) Fortified cereals and plant-based milk (almond or soy milk) Note: B12 is not naturally found in plant foods , so vegetarians need to ensure they get it from dairy or fortified foods

Your healthcare provider will always discuss these rare possibilities with you

Anyone with kidney disease or suspected B12 deficiency or malabsorption should talk to their doctor about an appropriate B12 regimen