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3 Crucially, the same study pointed to a neural, vagally mediated mechanism: the effect had the signature of vagal inhibition rather than a direct action on gastric smooth muscle

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Populations at a higher risk of vitamin B12 deficiency include people who are vegetarian or vegan, exclusively breastfed infants of vegan women, older adults, those with gastrointestinal disorders or who have had gastrointestinal surgery, and people with an autoimmune condition known as pernicious anemia