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Individuals with Digestive Disorders Conditions like Crohns disease, celiac disease, and atrophic gastritis can interfere with B12 absorption, increasing the risk of deficiency

Important point to note is that these all manifestations are insidious or subacute onset and patients usually come in contact with physician with history of weeks or months

Additionally, some older adults suffer from acid reflux disorders and take antacids to reduce the heartburn and indigestion

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