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USA 100 , 56285633 (2003)

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Certain groups are at higher risk, including older adults (due to reduced stomach acid production), individuals with pernicious anaemia (an autoimmune condition affecting B12 absorption), those who have undergone gastrointestinal surgery, and people with conditions such as Crohn's disease or coeliac disease

When we transition to patient-facing availability, it will be within a supervised medical program, not as a self-directed supplement