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doi: 10.3109/00365528609093823

While the condition is the major cause of poor vitamin B 12 status in the elderly population, it is usually associated with atrophic gastritis, a chronic inflammation of the lining of the stomach that ultimately results in the loss of glands in the stomach (atrophy) and decreased stomach acid production (see Atrophic gastritis)

Individuals with B12 deficiency often report experiencing brain fog, memory lapses, and difficulty concentrating

The process typically begins within hours of administration and can remain active for 12-24 hours based on the sustained activation of lipolytic enzymes and metabolic pathways