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Many patients experience moments like this because reactions can appear quietly and spread faster than expected

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Practitioners' guide to meeting the vitamin B-12 recommended dietary allowance for people aged 51 years and older

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4,5 Dietary insufficiency, pernicious anemia (i.e., an autoimmune process that reduces available intrinsic factor and subsequent absorption of vitamin B 12 1,2,6,7 ), and long-term use of metformin or acid-suppressing medications have been implicated in B 12 deficiency