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Description
Aging athletes, especially those over the age of 60, are also at risk for deficiency with age-related atrophic gastritis, low stomach acid, and an inadequate amount of a certain protein needed to absorb B12 (intrinsic factor)

[6] Some people with aphthous stomatitis may show herpes virus within the epithelium of the mucosa, but without any productive infection

Gilgun-Sherki, Y., E

Various factors might lead to small skin changes, but some specific signs could hint at a lack of B12
