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Several age-related factors cause this high prevalence: Atrophic gastritis (affects 8-9% of adults over 65) Decreased production of intrinsic factor Reduced stomach acid secretion Helicobacter pylori infection Medication interactions (especially with proton pump inhibitors) Untreated B12 deficiency can have serious effects on physical and neurological functions

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Q: What precautions should be taken before and during the treatment process