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Older adults (over 60 years) commonly experience reduced B12 absorption due to atrophic gastritisa condition affecting approximately 1030% of older peoplewhich decreases stomach acid production

Treatment with high dose vitamin B12 been shown to be safe for more than 50 years Out of fear of overdosing vitamin B12, treatment is often reduced to below the frequency that is needed by the patient, or, even worse, treatment is stopped completely

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The Journal of Investigative Dermatology, 143 (9), 1700-1707

J Pediatr 202:315-319.e2

The default response to a stall is almost never take more it is to check the controllable variables first