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As we age, stomach acid production can decline (atrophic gastritis), which makes it harder to extract B12 from food or pills

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In addition, a mouse model with reduced expression of NT3 or endothelial cell-specific NT3 deficiency displayed larger adipocyte size with decreased UCP1 expression

It is not intended for diagnosis, treatment, cure, or prevention of any disease

So, a single low value may not indicate true deficiency

These vitamins work in concert and a deficiency in one can often affect the work of others