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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)

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Intranasal B12 Similar to sublingual B12, intranasal B12 can also bypass the complex B12 absorption process and directly reach the bloodstream

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The required dose is 20 to 40 mg (milligram) per kg body weight of 1 g (gram) to 2 g per day in two divided doses