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Some institutions have even recommended universal vitamin B 12 supplement for people aged 60 years in view of the high prevalence of vitamin B 12 deficiency among this popualation.15 Conclusion Vitamin B 12 deficiency is prevalent among the elderly

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18 Because of the association between pernicious anemia and a higher incidence of gastric cancer and carcinoids, it is important to pursue a diagnosis and, if confirmed, recommend endoscopy