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A deficiency can occur for several reasons, such as pernicious anemia (a condition where the body cannot absorb vitamin B12 from the diet), certain medical conditions (e.g., Crohn's disease, celiac disease), surgical removal of part of the stomach or intestine, or strict vegetarian/vegan diets if not adequately supplemented

During digestion, vitamin B12 is removed from protein and sent into the bloodstream

The vote also does not mean that pharmacies can immediately begin compounding all six substances under a new final rule

NAD+ is also required for enzymes involved in the synthesis of DNA, which is essential for cell division and growth, and the repair of DNA damage, thus protecting the body from age-related diseases