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Those who might face a vitamin b12 deficiency are: The elderly People who had surgery and the part of the bowel that absorbs B12 has been removed Those who are on the drug metformin for diabetes People following a strict vegan diet Those taking long-term antacid drugs for heartburn Vitamin B12 deficiency symptoms The worst thing is that vitamin B12 deficiency cannot be recognized at the start

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While vitamin B12 supports cellular energy metabolism, supplementing B12 in a patient who is not deficient does not increase metabolic rate or cause fat loss

Patients typically need to receive injections once or twice a week for several months, followed by maintenance injections every few weeks or months for up to five years or longer