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Deficiency is particularly common in elderly people, because the ability to absorb vitamin B12 can decrease with age ( Other people at risk of deficiency include those who have had intestinal surgery, including weight loss surgery
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[5] [6] However, it is important to emphasise that not all mouth ulcers are caused by B12 deficiency , and other factors such as immune dysfunction, genetic predisposition, and local trauma also play important roles
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