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& Fujimori, K

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A deficiency or lack of Vitamin B12 is quite common in the over 65s, those diagnosed with pernicious anaemia, and in anyone who follows a vegan, strict vegetarian, or extreme/fad/restricted diet for a long time without taking a B12 supplement or eating fortified foods

Lifestyle interventions nutrition, resistance training, sleep, stress management remain the most evidence-supported long-term foundation