[39] The elderly are at increased risk because they tend to produce less stomach acid as they age, a condition known as achlorhydria, thereby increasing their probability of B 12 deficiency due to reduced absorption
Some studies indicate people with obesity have low vitamin B12 levels
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Conversely, if you are a vegetarian or vegan, you might need to rely more on B12 shots or supplements to maintain adequate B12 levels
New England Journal of Medicine 2006;355:20910