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The pharmacist can also explain when B12 injections may be appropriate and when further medical assessment is needed

Yes, most vegans and vegetarians can maintain adequate B12 levels through consistent use of oral or sublingual supplements and B12-fortified foods such as fortified plant milks, nutritional yeast, and fortified cereals

That's the key

If you have pernicious anaemia, antibodies are formed against your intrinsic factor, or against the cells in your stomach which make intrinsic factor