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Those who produce less stomach acid, such as people over 50 or individuals taking acid-reducing medications, may not absorb B12 from food efficiently

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This variability is strongly influenced by dietary quality: consuming hypercaloric, low-fiber, ultra-processed gluten-free products is increasingly common, often displacing naturally gluten-free foods rich in complex carbohydrates and micronutrients (70)

producing components of the cell‚ resulting in reduced cellular metabolic activity‚ and the accumulation of cellular debris