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Although its a common condition, B12 deficiency in older adults often goes undiagnosed, as its not routinely tested

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Other causes include strict vegan diets, malabsorption disorders (coeliac disease, Crohn's disease), gastrointestinal surgery, and long-term use of medications such as metformin or proton pump inhibitors

It's important to note that higher doses may increase the risk of side effects, and long-term effects of supplementation are still being studied

Cyanocobalamin, whilst still used in some settings, is cleared from the body more rapidly, typically requiring more frequent administration

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