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"The stomach lining gets thinner with age, we make less acid and less enzymes, so it's more difficult to extract the B12 from food

It occurs naturally in foods derived from animals (eggs, meat, dairy, etc)

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Intramuscular hydroxocobalamin injections represent the standard treatment for most cases: Initial loading regimen : For patients with neurological symptoms, 1 mg on alternate days until no further improvement occurs (typically 23 weeks)