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This is where the debate truly begins
An inability to digest B12 as a result of low levels of intrinsic factor for either genetic reasons or a result of physical damage to the stomach or small intestine can also cause deficiency
Special Populations Older adults often face declining B12 absorption due to reduced stomach acid
Since then, many different concepts and definitions have been proposed
Supplementation When Needed For individuals at higher risk, such as pregnant women, elderly adults, or strict vegetarians, oral B12 supplements may be advised even before symptoms appear
