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In addition other groups are also at particular risk for a deficiency: those with ulcers, Crohn's disease or other gastrointestinal disorders, and those taking medication for epilepsy, chronic heartburn, or gout. In addition, heavy drinkers are likely to have low levels of B12 because excessive alcohol consumption hinders the nutrient's absorption. People who don't eat any meat products (vegans) are also at risk. A deficiency can cause fatigue, depression, confusion, memory loss, muscle weakness, and numbness and tingling in the hands and feet due to nerve damage.
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