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Taylor Bullock, MD, a dermatologist with the Cleveland Clinic: For adults, the skins normal pH is about 5.5, which is just a little bit acidic

Sociodemographic information was obtained by interviews completed by trained research assistants

This reduced absorption means older adults may require more frequent B12 injections to maintain optimal levels

He continued to say that for people with B12 deficiency, parenteral supplementation (ie not through the mouth/digestive system) therefore is a useless and expensive treatment, and if you still want it the NHS should not pay for it, you should pay for it yourself

Farm animals are often supplemented with cobalamin in their feed