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Millard, MD, is board-certified in internal medicine and obesity medicine

Li Q, Liang J, Fu N, Han Y, Qin J

Several factors contribute to this nutritional deficiency, including: low socioeconomic status and limited access to nutrient-rich foods, low animal protein intake, which is the primary dietary source of vitamin B 12 , geohelminth infections, which can impair nutrient absorption and further exacerbate deficiency (6)