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Ligresti, vitamin B12 deficiency is found in populations that consume a largely vegan diet, in older people due to malabsorption, and in people with chronic Helicobacter pylori infection
The diagnosis is supported by characteristic findings, including macrocytic anemia, low serum vitamin B12 levels, and abnormal results on gastroscopy or spinal MRI [5]
They are particularly effective when they are combined with a proper weight-loss diet and exercise regimen
