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Chronic Helicobacter pylori infection damages the stomach lining and reduces the production of hydrochloric acid and intrinsic factor

B12 and Older Adults While a B12 deficiency isnt as prevalent as something like vitamin D or folate, evidence suggests that 10-15% of people over the age of 60 are low in B12, likely due to loss of a protein called intrinsic factor, which is essential for the body to absorb vitamin B12

When symptoms return after improvement, the active drivers should be reassessed: nerve sensitization, local irritators, systemic contributors, sleep, stress, and whether the medication plan is still adequate

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