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The combination of altered transit and potentially reduced acid creates conditions where B12 absorption efficiency could decline

3 In B12 deficiency, methylmalonic acid (MMA) can accumulate, and it is thought that elevated MMA, alongside elevated homocysteine, contributes to damage of the myelin sheath (which protects nerve cells and speeds up nerve transmission), which can cause irreversible neurological problems

Effects of vitamin B12 deficiency can result in a range of negative health effects

Please work with your doctor

Older people may also be more likely to experience lower stomach acid production

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