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This includes: Vegans and vegetarians who may not obtain sufficient B12 from their diet Older adults, as the ability to absorb B12 from food decreases with age Individuals with certain medical conditions, such as Crohn’s disease or celiac disease, that can impair B12 absorption People taking certain medications, such as metformin or proton pump inhibitors, which can interfere with B12 absorption Who Should Consider Getting B Complex Shots