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It can also affect mental and physical performance, making you feel tired and less alert

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These include- Aged over 75 Decreased stomach acid Frequent use of antacids Autoimmune conditions affecting the stomach High doses of folic acid Stomach surgery Prolonged use of metformin Adoption of a vegan or vegetarian diet Excessive alcohol consumption How Does Vitamin B12 Benefit Your Body

Chronic liver inflammation and immune reactions often precede fibrosis (72)

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