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However, those who follow a vegan or vegetarian diet are prone to deficiency because plant foods do not contain vitamin B12

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In these cases, treatment should be initiated as soon as possible.[] The etiology of vitamin B12 deficiency typically includes malabsorption-related causes such as autoimmune gastritis (pernicious anemia), celiac disease, inflammatory bowel disease, surgical gastrectomy, gastric bypass, and ileal resection

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Vitamin B12 and gut-brain homeostasis in the pathophysiology of ischemic stroke