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Aging can result in decreased stomach acid and intrinsic factor production, vital for vitamin B12 absorption, possibly causing anemia

Being a vegetarian or vegan : This group consumes less foods that are naturally high in vitamin B12, such as beef and poultry (and sometimes dairy and fish too), which means their intake of vitamin B12 is lower whether their absorption is adequate or not

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Subcutaneous (SC) Injections: Subcutaneous injections are administered just beneath the skin into the fatty tissue, usually in the abdomen or upper arm

Patients often eat 30 to 50 percent fewer calories than before treatment