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While some plant-based foods are fortified with B12, like certain cereals or plant-based milk, these may not provide sufficient amounts for optimal health

A B12 deficiency is typically caused by malabsorption, poor dietary intake and pernicious anemia

Similarly, older adults, those with digestive disorders like Crohns disease or celiac disease, and individuals whove undergone weight-loss surgery may struggle with the bodys ability to absorb B12 from food

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This stability is considered a direct consequence of its gastric origin: a peptide evolved to remain functional in the highly acidic, protease-rich environment of the stomach