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Diet Vitamin B12 can only be found in animal foods, so vegans and vegetarians are particularly at risk (studies show that 50% of long term vegetarians, and 80% of vegans could be deficient) Alcohol and medications such as PPIs, acid suppressors, and Metformin are also risks for deficiency Poor digestion, including

Forward-looking statements are based on Cigna's current expectations and projections about future trends, events and uncertainties

Buers, et al

If side effects are causing anxiety or affecting your day-to-day life, a Slim Shot consult or follow-up visit is an opportunity to pause, reassess, and make sure your treatment plan continues to fit your needs

- You prefer taking a daily supplement over receiving injections