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Loss of muscle mass and strength not only impairs mobility and quality of life, but also worsens insulin resistance, accelerates cardiometabolic decline and increases mortality risk

24 Older adults are particularly vulnerable due to age-related decreases in stomach acid production, with B12 deficiency prevalence reaching 6% in those 60 years and 20% in those 85 years

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Without the need for injection training or in-office administration, providers can shift their focus toward higher-value care activitiessuch as metabolic assessments, lifestyle counseling, progress tracking, and long-term outcome monitoring