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Human Reproduction Update , 19(5), 570-582

D51.3 designates B12 deficiency anemia resulting from dietary insufficiency, typically seen in strict vegans who avoid all animal products for extended periods

Source: Ultra-processed foods increase noncommunicable chronic disease risk Elements that indicate the product is in the 4 - Ultra processed food and drink products group: Additive: E953 - Isomalt Ingredient: Colour Ingredient: flavouring Food products are classified into 4 groups according to their degree of processing: Unprocessed or minimally processed foods Processed culinary ingredients Processed foods Ultra-processed foods The determination of the group is based on the category of the product and on the ingredients it contains

Storage: Store according to product instructions

This can happen due to low levels of intrinsic factors in the digestive system, digestive conditions, or following a plant-based diet