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Frontiers in Aging Neuroscience, 11, 257

B12 deficiency is present in close to 50% of people over 60 years of age

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This can be caused by an underlying condition that affects one of your organs, such as: congestive heart failure where the heart is unable to pump enough blood around the body acute liver damage often caused by drinking excessive amounts of alcohol long-term dialysis where a machine that replicates the kidney function is used to filter waste products from the blood Medicine Some types of medicines reduce the amount of folate in your body or make the folate harder to absorb

What you should do Consult a health care professional (physician, nurse practitioner, pharmacist) if you have used an unauthorized injectable drug and have health concerns