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In these people, pernicious anemia develops at about age 60

doi: 10.7759/cureus.31851 164 AbhishekBRVelayuthamSSJeyarajKMSowminiPRKumarMSSarvananSVet al

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In asymptomatic patients with risk factors (see Table 1: Patient Risk Factors Associated with B 12 Deficiency below) consider supplementation in lieu of testing

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