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Malabsorption disorders represent the most common cause in the general population, particularly among older adults

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When 1982 people who follow a vegan diet were tracked for 17.6 years and compared to non-vegetarians, they had a 43% increased risk of fractures, including hip fractures

The body's capacity to absorb B12 from food is naturally limited by intrinsic factor, a protein produced in the stomach that binds to B12 and facilitates its absorption in the small intestine