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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

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Early treatment offers the best chance of complete recovery, whilst established nerve damage may show only partial improvement despite adequate B12 replacement