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Here are some of the groups who may be more at risk for a B12 deficiency (NIH, 2020): Those with atrophic gastritis: Between 10 and 30% of older adults are afflicted with atrophic gastritis, which results in decreased absorption of foods containing B12

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However, it is not a replacement for: Calorie control Resistance training Protein optimization Sleep regulation In controlled studies, fat loss was moderate, not extreme

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