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Therefore, there is a very low risk of B12 toxicity, even at high doses like 1,000 mcg a day

It is an Andean town, surrounded by a very dry area with little vegetation

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This includes vegans and vegetarians, older adults, individuals with atrophic gastritis, pernicious anemia, gastrointestinal disorders, those who have had gastrointestinal surgery and people who take certain medications including, but not limited to, estrogen (HRT), and birth control pills