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Risk factors include older age, gastrointestinal disorders, vegan diets, or use of certain medications like metformin or PPIs

Moreover, a US national study of 2,806 older women (50 years) found increased plasma concentration of methylmalonic acid the metabolic indicator of vitamin B 12 deficiency to be associated with increased risk of lumbar spine osteoporosis (115)

Eat these in small quantities and ensure they are well-cooked
Vitamin B12 injections deliver a high dose of B12 directly into the bloodstream, bypassing the digestive system

The multi-pathway mechanism appears to address fundamental aspects of wound healing common across these diverse injuries
