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It helps avoid serious problems linked to B12 deficiency

The specific reasons identified include intensive insulin therapy, decreased renal function, severe liver disease, alcohol ingestion, defective counter regulatory hormone release, missing meals/fasting, and gastroparesis

However, unfortunately, vitamin B12 deficiency is somewhat common, especially in the elderly, strict vegans, and people on antacid medications, so I dont mean to downplay the importance of vitamin B12 or the B vitamins more generally