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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)

Prospective monitoring In daily practice, I often ask my patients with B12 deficiency to maintain a sheet with their most prominent symptoms

Have your weight loss efforts stalled

This means it will not induce insulin resistance or negatively impact a patients fasting blood glucose levels

May affect neurologic signaling and nerve integrity

however, these investigations are limited