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The Chief Naturopathic medical officer of the Canadian College of Naturopathic Medicine wrote in 2011 serum levels of B12 not classically deficient by current laboratory standards are associated with neuropsychiatric signs and symptoms and Most clinicians do not consider vitamin B12 important unless the serum level is deficient when indicated by laboratory reference ranges

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As we age, stomach acid production can decline (atrophic gastritis), which makes it harder to extract B12 from food or pills

Just one thing Try this today: Add more vitamin B12 foods to your diet by enjoying beef, seafood, eggs, dairy, and fortified breakfast cereals or nondairy products, like soy milk.