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As we age, our stomachs naturally produce less hydrochloric acid

Long-Term Effects For sustained benefits, regular Vitamin B12 shots may be necessary, especially for those with chronic deficiency or absorption issues

Journal of Environmental Chemical Engineering, 10(3): 107810 Gamelas S R D, Tome J P C, Tome A C, Lourenco L M O (2023)

Vitamin B12deficiency can manifest itself in the following clinical pictures: Hyperchromic macrocytic megaloblastic anemia (pernicious anemia, Biermer's anemia, Addison's anemia these are red blood cell maturation disorders) Funicular spinal disease [spinal cord damage] A vitamin B12deficiency confirmed by laboratory diagnostics can occur with: Years of malnutrition and malnutrition (e.g strictly vegetarian diet)