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The lack of B12 also causes problems with blood cell production, leading to conditions like pernicious anemia, and creates more abnormal or cancerous cells

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Practitioners are encouraged to incorporate MIC B12 strategicall y, alongside lifestyle coaching and cosmetic treatments

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So people at greatest risk for deficiency include those with low stomach acid (e.g., older adults and people on proton pump inhibitors or antacids) or low IF production (known as pernicious anemia), people on medications that interfere with B12 absorption (such as metformin), people who have had gastric surgery, those with GI conditions that impair nutrient absorption (like celiac or Crohn's disease), and people on vegan and vegetarian diets

Sleep Apnea Excess weight, particularly around the neck, can obstruct breathing during sleep, leading to sleep apnea