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No adverse effects observed

Diagnosed Deficiency or Malabsorption if you have a confirmed deficiency in a vitamin that affects appetite (like B1, zinc, or iron) or a condition that impairs nutrient absorption (such as certain digestive disorders or post-surgical states), vitamin injections can be highly beneficial

The authors of the meta-analysis examined if maternal serum homocysteine levels, folic acid supplementation, or gestational age could explain the variation in the results, but none significantly explained the difference between studies

However, consumption of any type of vegetarian diet dramatically increases the prevalence of vitamin B 12 deficiency in individuals across all age groups (127, 128)