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Aging Population Older adults are another at-risk group for B12 deficiency

Life situations, that stress you and increase your anxiety can trigger strong, long-lasting negative emotions, like work performance, parenting, caring, abusive relationships, bullying, money worries, grief, loss, change, and difficulties at work

Other malabsorption causes include: Atrophic gastritis and reduced gastric acid production (common in older adults) Gastrointestinal surgery, particularly gastrectomy, ileal resection, or bariatric surgery (especially gastric bypass) Inflammatory bowel disease affecting the terminal ileum (Crohn's disease) Coeliac disease and other small bowel disorders Chronic pancreatitis affecting enzyme secretion Helicobacter pylori infection (may contribute to reduced absorption) Medication-related deficiency is increasingly recognised