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As people grow older, B12 doesn't get absorbed as easily

Simultaneous bullous pemphigoid and vitiligo associated with adalimumab therapy in a patient with psoriasis vulgaris

If you follow a vegan or vegetarian diet, it can be hard to get enough B12 as it's not naturally found in foods such as fruit, vegetables, or grains

doi:10.3892/etm.2014.2100 Inglis VB
Certain chemotherapy regimens, some antibiotics if taken for long periods, and long-term use of the epilepsy drug phenytoin, carry a risk of nerve damage

Completely different syringe readings
