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Insufficient levels of B12 can therefore reduce normal red blood cell production, which can impair oxygen delivery

[DOI] [PMC free article] [PubMed] [Google Scholar] 254.Gupta H., Youn G.S., Shin M.J., Suk K.T

Although vitamin B12 deficiencies are rare in the U.S., certain medications and health conditions such as pernicious anemia can affect the absorption of vitamin B12 and contribute to a deficiency