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Groups at genuine risk of deficiency include vegans, older adults, people with pernicious anaemia, those on long-term metformin, and individuals who have had gastric surgery
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However, it carries a BBB F rating due to unresolved customer complaints, Trustpilot flagged its review page for suspected inauthentic reviews, and Eli Lilly filed a lawsuit against the company in April 2025
this is the reduced, highly bioavailable form
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