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Some individuals may have problems producing this protein due to genetics, age, chronic gastritis, autoimmune conditions, or bariatric surgery

Another element that plays a role in myelopathies caused by B12 deficiency is the disturbance of neuronal lipid and protein synthesis, which includes fundamental elements such as myelin proteins that create myelin sheaths in the spinal cord and peripheral nervous system (PNS) [83]

The severity of the deficiency decides how much and how often you get shots

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However, individuals who eat a vegetarian or vegan may need to plan their diet more carefully to ensure they get enough B12

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