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Several factors cause this: Lower stomach acid production [6] Less intrinsic factor [6] Interference from medications (especially proton pump inhibitors and metformin) [6] Atrophic gastritis affects 8-9% of adults over 65, which makes nutrient absorption even harder [7]

"Anaerobic synthesis of vitamin B12: characterization of the early steps in the pathway" (PDF)

ISSN 0013-7227

Vitamin B12 is easy to find in animal products like meat, eggs, dairy, and fish

Thometz Donald Donny Paul Thometz has diverse professional experience including working in emergency departments both in the US and internationally, where he further honed his skills in acute care medicine

Long-Term Intake of Antacids If you have gastrointestinal disorders like heartburn, peptic ulcer, or acid reflux, you may be prescribed antacids