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It can also be deficient if the part of the stomach where it is produced has been surgically removed

Lambs need B12 for growth and thermogenesis (heat production)

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Intrinsic factor attaches to vitamin B 12 and takes it to the intestines to be absorbed

People who have a B vitamin deficiency may feel a rise in energy levels after using the supplement because the vitamin is directly involved in making healthy blood cells and can correct anemia if present

For patients who have not previously been diagnosed with vitamin B12 deficiency or prescribed a vitamin B12 injection, the medicine can be offered if vitamin B12 deficiency is suspected based on signs, symptoms and/or risk factors, though confirmation of vitamin B12 deficiency by a reliable test kit should also be considered