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This is most likely not a physiological change due to aging per se , but a consequence of the elderly being more prone to gastric dysfunction, with variable degrees of gastric atrophy and achlorhydria interfering with the absorption of vitamin B 12 from foods (Carmel, 12 among the elderly are accompanied by metabolic changes related to deficiency (Carmel, 2015)

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Eur Heart J 39:18831948 Bruno V, Freitas ME, Mancini D, Lui JP, Miyasaki J, Fox SH (2018) Botulinum toxin type A for pain in advanced Parkinsons disease

"When people have an iron deficiency, that can cause anemia." Anemia means that your body doesn't have enough healthy red blood cells