Taking a proton pump inhibitor or other medications that reduce stomach acid for reflux or ulcers, as well as taking metformin for diabetes, can reduce absorption of B12 in food or supplements
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In other words, if you cant seem to lose weight no matter what you do, the answer may not always be to push yourself to work out harder or eat less
Injections of micronutrient B12 at larger doses may be necessary for older persons to keep their vitamin levels appropriate
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