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Absorption problems Even with adequate intake, absorption can be reduced by: Certain gastrointestinal conditions affecting the stomach or small intestine Some medications Age-related reduction in stomach acid (which can affect absorption) Autoimmune gastritis (often historically referred to as pernicious anaemia) This is a well-recognised cause of B12 deficiency and may require ongoing management

Some patterns require medical evaluation because they may indicate serious underlying conditions or medication complications

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Post-microneedling: the monthly session schedule naturally provides recovery time

the absence of a NICE PoTS guideline