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( 1 ) For men over 30, especially those juggling professional responsibilities, family life, and trying to stay in shape, the dip in energy and mental sharpness can sometimes feel like it came out of nowhere

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As we age, stomach acid production can decline (atrophic gastritis), which makes it harder to extract B12 from food or pills

PMID: 28189172 20 A case report: subacute combined degeneration of the spinal cord and pernicious anemia caused by autoimmune gastritis

We continue to La Raya , the highest point of the journey (4,313 m / 14,150 ft), where you can admire the Chimboya snow-capped peak