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As people age, their ability to absorb B12 from food declines due to atrophic gastritis, which reduces stomach acid production

Administration can occur simultaneously or separately based on convenience

or (4) respiratory center failing to send impulses to breathe. Running out of compressed air is a common cause of asphyxia in SCUBA diving

It is first converted by MMACHC (a gene providing instructions for metabolizing B12) into cob(II)alamin, which is then further converted into methyl&adenosylcobalamin for use as cofactors

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