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I go into this topic further in my Youtube video about B12: Common risk factors for low vitamin B12 levels in older adults include : Low levels of stomach acid

Gonzalez R, Reingold BK, Gao X, Gaidhu MP, Tsushima RG, Unniappan S

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And emerging research suggests GIP may have protective effects on brain function and bone density, areas where pure GLP-1 agonists have raised some concerns

Vitamin B Deficiency: While only 1-1.5 percent of Americans have a true deficiency, as many as 40 percent fall within the low-normal range for Vitamin B levels