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Background Cobalamin (vitamin B 12 ) deficiency is common in many low and middle-income countries.1 2 This is not surprising as the main source of vitamin B 12 is animal source foods, which are expensive and for cultural and religious reasons often not eaten at all

Injections may seem more inconvenient

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This reduced absorption means older adults may require more frequent B12 injections to maintain optimal levels

If you suspect this is the root cause of your B12 deficiency, I recommend ordering a GI-MAP test to confirm this is indeed the case