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Causes include: Pernicious anemia Gastrointestinal or autoimmune disorders Alcoholism Bariatric surgery Strict vegetarian diet Prolonged use of antacids or proton pump inhibitors Advanced age Conditions B12 May Help Prevent or Improve Memory loss, Alzheimers disease, or dementia Fatigue and lack of concentration Weakened immune system Heart, kidney, and liver disease Infertility Osteoporosis Allergies or asthma Tinnitus Skin disorders Lyme disease While oral supplements or nasal gels are alternatives, injections are often necessary when absorption through the digestive tract is impaired

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