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Factors Contributing to Deficiency: Reduced Stomach Acid: Older adults often produce less stomach acid, which is necessary for separating B12 from food proteins

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International Journal of Peptide Research and Therapeutics , 29 (4)

Patients should seek urgent same-day assessment if they develop any new neurological symptoms, as subacute combined degeneration of the spinal cord a serious but preventable complication of prolonged B12 deficiency requires immediate treatment

Post-Surgical Patients Patients who have undergone certain types of surgeries, particularly those involving the gastrointestinal tract, may experience difficulties with B12 absorption

[DOI] [PubMed] [Google Scholar] 5.O'Leary F, Samman S (2010) Vitamin B12 in health and disease