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Inge van Uden: Nothing to disclose

Those following a vegan or strict vegetarian lifestyle are at greater risk of deficiency and may benefit from regular B12 supplementation or injections

Case presentation A 22-year-old male student presented with a four-month history of the progressive development of hyperpigmentation on his knuckles
It sits at the core of enzymes involved in collagen production + antioxidant defenses+ mitochondrial metabolism

19 Poor function of the stomach, pancreas, and small intestine (as is common in older adults) impairs vitamin B12 absorption, potentially leading to vitamin B12 deficiency
