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Stomach acid tends to decrease with age, which makes it harder to extract B12 from food

Physicians EZ Use B-12: Typically cyanocobalamin, designed for convenient self-administration

Work on immune cells isolated from patients with multiple sclerosis revealed preferential migration of CD8+ and TH17+ T lymphocytes (Tsukada et al., 1993

[ Google scholar ] Kang YA, Choi HR, Na JI, Huh CH, Kim MJ, Youn SW, et al

Refrigerators cycle on and off, causing temperature fluctuations

This heightened risk can stem from impaired taste and smell perception, which diminishes the appeal of food (e.g., hyposmia), as well as difficulties with preparing and consuming meals