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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)

Injection site reactions including temporary redness, swelling, or itching occur occasionally

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Of course, some foods have more B12 than others: The NIH reports that clams are packed with the vitamin at 84.1 micrograms per three-ounce serving, while liver also contains a fair amount