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There are also certain drugs and health conditions that can increase the likelihood of developing a B12 deficiency such as: alcohol abuse, antacid use, smoking, celiac disease, other digestive concerns, pregnancy, a strict vegetarian or vegan diet, and even natural aging

A: Lyophilized means freeze-dried to improve stability during storage

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Vitamin B12 is found in animal foods, as well as some fortified foods that have added B12