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Atrophic gastritis , often associated with Helicobacter pylori infection or autoimmunity, reduces gastric acid secretion necessary for releasing food-bound B12

This process affects everything from neurotransmitter production to testosterone synthesis as men age [7]

[121] Age is also a contributing factor: elderly individuals are often achlorhydric due to reduced parietal cell function in the stomach, increasing their risk of vitamin B 12 deficiency

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Boosting Vitamin B12 with Diet In addition to supplements and injections, you can raise your vitamin B12 through food if you eat animal products