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Description
People with gastrointestinal conditions : Individuals with conditions such as Crohns disease, celiac disease, or those who have undergone gastrointestinal surgery are at higher risk of B12 deficiency

CMAJ 2012;184:1593-8

People over 65 Age-related changes in stomach acid production reduce the ability to absorb B12 from food

However, both are considered off-label prescriptions for things like non-HIV-related body composition management