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The reason for this isnt clear, but some of the medical conditions that increase the risk of vitamin B12 deficiency are associated with lupus

You may be at higher risk if you: Follow a vegan or vegetarian diet Eat very little meat, fish, eggs, or dairy Are over the age of 50 Have digestive conditions affecting absorption Take certain medications, such as metformin or acid-reducing medicines Have had certain stomach or bowel surgery Have pernicious anaemia or absorption problems People in higher-risk groups may benefit from advice, testing, or treatment depending on their symptoms and medical history

Chronic users of certain medications, such as metformin (used to treat diabetes) or proton pump inhibitors (used for acid reflux)

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