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Vegetarians and vegans are found to be most common to suffer from B12 deficiency due to a lack of animal products in their diets

However, this is a little less likely

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A deficiency in vitamin B12 can potentially lead to megaloblastic anemia, a medical condition characterized by a reduced red blood cell count and the presence of abnormally large red blood cells

However, the high prevalence of VD deficiency in PD patients could also be the result of reduced outdoor activity owing to activity restriction, and the possibility that gastrointestinal dysfunction (a non-motor PD symptom) leads to lower VD2 levels in PD patients cannot be completely ruled out