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Second, medications that many older people take, like metformin for diabetes or proton-pump inhibitors for acid reflux, can also impact absorption. Are vegan or strictly vegetarian: Because most dietary intake of B12 comes from animal products, B12 supplements are recommended for people who eat a vegan diet or a vegetarian one with few eggs and dairy products

Eussen SJ, de Groot LC, Clarke R, Schneede J, Ueland PM, Hoefnagels WH, et al: Oral cyanocobalamin supplementation in older people with vitamin B12 deficiency: a dose-finding trial

Both strategies are proving far more effective than single-target GLP-1 agonism

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