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While anyone can develop B12 deficiency, certain groups are more vulnerable: Vegetarians and vegans Adults over 50 Individuals with gastrointestinal disorders People taking long-term acid-reducing medications Those who have undergone gastric surgery According to the National Center for Biotechnology Information, vitamin B12 deficiency can result from both dietary insufficiency and impaired absorption, particularly in individuals with underlying gastrointestinal conditions

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[1] In adults with confirmed GH deficiency, sermorelin may also be considered as a treatment option, although its use in healthy older adults for anti-aging purposes remains unproven and is not an FDA-approved indication