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Pernicious anemia (affecting 0.1% of the general population, and up to 24% of adults over the age of 60y) or malabsorption associated with a variety of other conditions are usually the cause of B12 deficiency (Stabler & Allen, 2004)
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[NG14] Last updated 2022 Sohail A, Kavaklieva S
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So the weight regain comes by way of increased fat mass, and then the vicious cycle repeats and gets worse each time, with increasing frustration for all (patients and providers)
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