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Patients with pernicious anemia – This autoimmune condition destroys intrinsic factor, the protein required for B12 absorption in the small intestine

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“It probably means you haven’t gotten enough.” Some people theorize that if you’re an athlete, then you need more B vitamins than the average person, but Kashey points out that even if that were the case — and he’s not convinced it is — athletes are going to be eating more calories (and therefore, almost certainly more nutrients) than the average person anyway