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While vitamin B12 is naturally found in certain foods, some individuals may have difficulty absorbing it effectively, leading to a deficiency that can result in fatigue, weakness, and other health issues

photo id: 1009 Fish Home Julia Tanner Fish, John Fish, and Hamilton Fish at their home in Lakeside

The main difference is absorption

pre- and post-operative treatment, when requirements are increased as in fever, severe burns, increased metabolism, pregnancy, gastrointestinal disorders interfering with intake or absorption of vitamins, prolonged or wasting diseases, alcoholism and where other deficiencies exist