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Older adults (there is reduced stomach acid production with age, and acid in the stomach is necessary to absorb vitamin B12)

Volume 14

The chronic use of any of these medications has the potential to cause complications related to vitamin B12 deficiency, which includes impaired DNA synthesis, impaired cell division, hematopoiesis, hyperhomocysteinemia, and metabolism of odd-chain fatty acids that is necessary in preventing demyelination of nerves